Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11711 | Date 26/11/2022 |
| Token No | SM/22-23/18293 26/11/2022 | Serial | 014 Last Visit: 26/12/2024 |
| Patient Name | Miss PROMITA KARFA | Contact No | 9123315834 |
| Address | 56 CHAKRABORTY LANE GOSWAMI PARA SERAMPORE | Age | 24 Years,1 Months,3 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | 162.5 cm BMI: 18.934911 |
| Diagnosis | |||