Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03480 | Date 09/02/2019 |
| Token No | SM/22-23/14325 05/07/2022 | Serial | 026 Last Visit: 05/07/2022 |
| Patient Name | Mrs. SUBHRA SOM | Contact No | 9830487795 |
| Address | CHATRA SHITLATALA , BAIDYABATI(M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 35.698567 |
| Diagnosis | |||