Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11824 | Date 04/01/2023 |
| Token No | SM/22-23/19427 04/01/2023 | Serial | 008 Last Visit: 04/01/2023 |
| Patient Name | Mrs. RINA BAGCHI | Contact No | 9831803244 |
| Address | 1/4 N.L. GOSWAMI STREET SERAMPORE | Age | 74 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | 143 cm BMI: 18.582816 |
| Diagnosis | |||