Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11277 | Date 15/07/2022 |
| Token No | SM/22-23/14669 15/07/2022 | Serial | 051 Last Visit: 15/07/2022 |
| Patient Name | Mrs. SONALI DEBNATH | Contact No | 8697884082 |
| Address | 127/37 C/G SADGOP PARA LANE VIVEKANAND SARANI NABAGARAM , BAIDYABATI(M) | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 23.309053 |
| Diagnosis | |||