Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11233 | Date 06/07/2022 |
| Token No | SM/22-23/14358 06/07/2022 | Serial | 015 Last Visit: 06/07/2022 |
| Patient Name | Mrs. MOUSUMI DAS (ROY) | Contact No | 7890568570 |
| Address | CHATRA DAS PARA HARIJAN ROAD, BAIDYABTI(M) | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 25.153150 |
| Diagnosis | |||