Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 11955 | Date 06/03/2023 |
| Token No | SM/22-23/20451 06/03/2023 | Serial | 023 Last Visit: 06/03/2023 |
| Patient Name | Mrs. SASTI DAS | Contact No | |
| Address | 3 NO LAHANAGAR COIONY BAIDYABATI (M) | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 148.5 cm BMI: 20.406081 |
| Diagnosis | |||