Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11787 | Date 21/12/2022 |
| Token No | SM/22-23/19061 21/12/2022 | Serial | 017 Last Visit: 15/02/2023 |
| Patient Name | Mrs. RUNU SAMANTA | Contact No | 8420202282 |
| Address | 14A DOCTOR BAGAN LANE SERAMPORE , MALLICK PARA | Age | 23 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 162 cm BMI: 21.719250 |
| Diagnosis | |||