Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07069 | Date 04/12/2019 |
| Token No | SM/22-23/19388 03/01/2023 | Serial | 007 Last Visit: 03/01/2023 |
| Patient Name | Mrs. BULA DOLUI | Contact No | 8335901921 |
| Address | 40A BARO BAGAN LANE SERAMPORE | Age | 48 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 150/90 mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | 147.7 cm BMI: 17.877369 |
| Diagnosis | |||