Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11978 | Date 17/03/2023 |
| Token No | SM/22-23/20683 17/03/2023 | Serial | 004 Last Visit: 24/04/2023 |
| Patient Name | Mrs. SHABNAM KARMAKAR | Contact No | 6289577736 |
| Address | 37 AUDDY LANE SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | 155 cm BMI: 23.725286 |
| Diagnosis | |||