Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12054 | Date 27/04/2023 |
| Token No | SM/22-23/21555 10/05/2023 | Serial | 076 Last Visit: 09/09/2023 |
| Patient Name | Mrs. MOLI CHOWDHURY | Contact No | 7980572293 |
| Address | 13 L B S ROAD SERAMPORE | Age | 17 Years,8 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | 151.2 cm BMI: 17.059293 |
| Diagnosis | |||