Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11366 | Date 29/07/2022 |
| Token No | SM/22-23/15178 29/07/2022 | Serial | 023 Last Visit: 29/07/2022 |
| Patient Name | Mrs. SHAMPA ADHIKARI | Contact No | 6290857636 |
| Address | HARIJAN ROAD , BAIDYABATI(M) | Age | 65 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 22.864375 |
| Diagnosis | |||