Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11597 | Date 20/09/2022 |
| Token No | SM/22-23/16925 20/09/2022 | Serial | 019 Last Visit: 20/09/2022 |
| Patient Name | Mrs. MOUMITA GHOSH | Contact No | 7003727060 |
| Address | 12 BARIN GHOSH LANE SERAMPORE | Age | 30 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | 162.5 cm BMI: 25.372781 |
| Diagnosis | |||