Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 11915 | Date 09/02/2023 |
| Token No | SM/22-23/21058 10/04/2023 | Serial | 005 Last Visit: 10/06/2023 |
| Patient Name | Mrs. SUMITA ROY SHAW | Contact No | 6290529175 |
| Address | 34 GOBINDA CHANDRA BHATTACHARYA LANE | Age | 24 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 76 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 33.553714 |
| Diagnosis | |||