Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09195 | Date 20/01/2021 |
| Token No | SM/22-23/16414 06/09/2022 | Serial | 028 Last Visit: 06/09/2022 |
| Patient Name | Mrs. MALATI KARMOKAR | Contact No | 7278025421 |
| Address | 23 THAKUR DAS BABU LANE GOSWAMI PARA , SERAMPORE | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | 145 cm BMI: 18.073722 |
| Diagnosis | |||