Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12012 | Date 04/04/2023 |
| Token No | SM/22-23/20959 04/04/2023 | Serial | 001 Last Visit: 10/05/2023 |
| Patient Name | Mrs. DOLI SARKAR BAIDYA | Contact No | 7318960825 |
| Address | 27/I DR BAGAN LANE SERAMPORE | Age | 32 Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 61 KG |
| Pulse Rate | / min | Height | 151 cm BMI: 26.753213 |
| Diagnosis | |||