Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05144 | Date 16/05/2019 |
| Token No | SM/22-23/14160 29/06/2022 | Serial | 029 Last Visit: 29/06/2022 |
| Patient Name | Mrs. MADHUMITA BANERJEE MUKHERJEE | Contact No | 8158977676 |
| Address | 59 DUTTA PARA LANE SERAMPORE | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 90 KG |
| Pulse Rate | / min | Height | 158 cm BMI: 36.051915 |
| Diagnosis | |||