Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11434 | Date 13/08/2022 |
| Token No | SM/22-23/15704 13/08/2022 | Serial | 033 Last Visit: 19/09/2022 |
| Patient Name | Miss JAYANTI SAHA | Contact No | 9830832179 |
| Address | 51/A/6 BARA BAGAN LANE SERAMPORE | Age | 62 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 20.311522 |
| Diagnosis | |||