Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11302 | Date 20/07/2022 |
| Token No | SM/22-23/14810 20/07/2022 | Serial | 009 Last Visit: 05/09/2022 |
| Patient Name | Mrs. MOUMITA BENERJEE | Contact No | 8478964764 |
| Address | 209/H TELIPARA,BAGHER BAGAN,BAIDYABATI(M) | Age | 32 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 29.432133 |
| Diagnosis | |||