Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00362 | Date 11/08/2018 |
| Token No | SM/22-23/14886 22/07/2022 | Serial | 011 Last Visit: 08/03/2025 |
| Patient Name | Mrs. ANITA DAS | Contact No | 8420496322 |
| Address | 209/H CHATRA TELI PARA BAGER BAGAN SERAMPORE | Age | 54 Years,2 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 22.521508 |
| Diagnosis | |||