Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11170 | Date 22/06/2022 |
| Token No | SM/22-23/14836 20/07/2022 | Serial | 035 Last Visit: 20/07/2022 |
| Patient Name | Mrs. CHAMPA KARMAKAR | Contact No | 9339737492 |
| Address | 6 J M LAHIRIR LANE SERAMPORE | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 64 KG |
| Pulse Rate | / min | Height | 152 cm BMI: 27.700831 |
| Diagnosis | |||