Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 11047 | Date 25/05/2022 |
| Token No | SM/22-23/14574 13/07/2022 | Serial | 036 Last Visit: 29/11/2022 |
| Patient Name | Mrs. MOUSUMI DAS | Contact No | 9883044618 |
| Address | 19/27 N C GHSOH SARANI BAIDYABATI (M) | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 160 cm BMI: 23.437500 |
| Diagnosis | |||