Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 12064 | Date 03/05/2023 |
| Token No | SM/22-23/21411 03/05/2023 | Serial | 004 Last Visit: 18/08/2023 |
| Patient Name | Mrs. KUHELI DAS | Contact No | 8584945229 |
| Address | 3 BUROBIBI LANE SERAMPORE | Age | 21 Years,7 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 145.3 cm BMI: 23.209450 |
| Diagnosis | |||