Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11480 | Date 25/08/2022 |
| Token No | SM/22-23/16017 25/08/2022 | Serial | 039 Last Visit: 25/08/2022 |
| Patient Name | Mrs. MUNMUN DEBNATH | Contact No | 8697882842 |
| Address | 8 NO GOALA PARA LANE SERAMPORE | Age | 34 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | 155.2 cm BMI: 27.815788 |
| Diagnosis | |||