Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11228 | Date 05/07/2022 |
| Token No | SM/22-23/14682 16/07/2022 | Serial | 011 Last Visit: 16/06/2025 |
| Patient Name | Mrs. CHAMPA GHOSH DAS | Contact No | 9163496412 |
| Address | 68/27/J/1 ,TELIPARA CHATRA BAIDYABATI(M) | Age | 39 Years,5 Months,14 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 32.038959 |
| Diagnosis | |||