Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11844 | Date 11/01/2023 |
| Token No | SM/22-23/19648 11/01/2023 | Serial | 007 Last Visit: 11/01/2023 |
| Patient Name | Mrs. PAMPA MALLICK BHAR | Contact No | 9123631197 |
| Address | 15 GOBINDA CHANDRA BHATTACHARYA LANE SERAMPORE | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 94 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 38.625904 |
| Diagnosis | |||