Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 11420 | Date 11/08/2022 |
| Token No | SM/22-23/15606 11/08/2022 | Serial | 005 Last Visit: 11/08/2022 |
| Patient Name | Mrs. RENUKA DEBI SHAW | Contact No | 8334913945 |
| Address | KAZI PARA,BAIDYABATI(M) | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | 163.9 cm BMI: 25.313431 |
| Diagnosis | |||