Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11977 | Date 17/03/2023 |
| Token No | SM/22-23/21174 18/04/2023 | Serial | 001 Last Visit: 09/09/2023 |
| Patient Name | Mrs. SUSMITA PAKIRA | Contact No | 9330451073 |
| Address | 76 CHATRA BARUIPARA LANE SERAMPORE | Age | 20 Years,8 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 85 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 34.484158 |
| Diagnosis | |||