Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 11639 | Date 31/10/2022 |
| Token No | SM/22-23/17568 31/10/2022 | Serial | 007 Last Visit: 02/12/2022 |
| Patient Name | Mrs. MITHU GHOSH | Contact No | 7001726656 |
| Address | NEAR GODA FP PRIMARY SCHOOL KAZIRHAT MORE | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 170 cm BMI: 22.491349 |
| Diagnosis | |||