Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11133 | Date 15/06/2022 |
| Token No | SM/22-23/14420 07/07/2022 | Serial | 042 Last Visit: 15/07/2022 |
| Patient Name | Mrs. DEBARATI SEN | Contact No | 9903169667 |
| Address | 18/D RAJA K L GOSWAMI STREET , SERAMPORE | Age | 29 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | 146 cm BMI: 20.641771 |
| Diagnosis | |||