Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11445 | Date 16/08/2022 |
| Token No | SM/22-23/15952 23/08/2022 | Serial | 018 Last Visit: 31/12/2024 |
| Patient Name | Mrs. CHAMPA DALAL | Contact No | 6290563659 |
| Address | 114/1 SHITALA TALA ROAD CHATRA BAIDYABATI(M) | Age | 59 Years,11 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | 147.3 cm BMI: 25.809675 |
| Diagnosis | |||