Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11854 | Date 16/01/2023 |
| Token No | SM/22-23/19740 16/01/2023 | Serial | 008 Last Visit: 16/01/2023 |
| Patient Name | Mrs. SUNITA CHAKRABORTY | Contact No | 8444067564 |
| Address | 26/1 GHOSHAL PARA LANE BAIDYABATI (M) | Age | 46 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 64.5 KG |
| Pulse Rate | / min | Height | 146 cm BMI: 30.258960 |
| Diagnosis | |||