Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11393 | Date 04/08/2022 |
| Token No | SM/22-23/15379 04/08/2022 | Serial | 040 Last Visit: 24/03/2023 |
| Patient Name | Mrs. PIYALI GHOSH | Contact No | 6291206305 |
| Address | TELIPARA BAGER BAGAN CHATRA BAIDYABATI(M) | Age | 22 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 159.2 cm BMI: 22.095402 |
| Diagnosis | |||