Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11802 | Date 21/12/2022 |
| Token No | SM/22-23/19183 23/12/2022 | Serial | 028 Last Visit: 10/07/2023 |
| Patient Name | Mrs. SUSMITA DHARA DAS | Contact No | 6289012472 |
| Address | 63 N.S AVENUE SERAMPORE | Age | 27 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.5 KG |
| Pulse Rate | / min | Height | 153 cm BMI: 24.990388 |
| Diagnosis | |||