Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11623 | Date 29/09/2022 |
| Token No | SM/22-23/17245 29/09/2022 | Serial | 034 Last Visit: 21/07/2023 |
| Patient Name | Mrs. GITA RANI MONDAL | Contact No | 8585021851 |
| Address | 132/2 RAMKRISHNA ROAD,BAIDYABSTI(M) | Age | 61 Years,6 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | 148.1 cm BMI: 32.370412 |
| Diagnosis | |||