Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09573 | Date 03/05/2021 |
| Token No | SM/22-23/17507 21/10/2022 | Serial | 016 Last Visit: 20/01/2023 |
| Patient Name | Mrs. SUPARNA BOSE | Contact No | 6290051927 |
| Address | 37/1 SHIBTALA LANE SEORAPHULI,BAIDYABATI(M) | Age | 52 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 20.406081 |
| Diagnosis | |||