Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12094 | Date 16/05/2023 |
| Token No | SM/22-23/21654 16/05/2023 | Serial | 001 Last Visit: 16/05/2023 |
| Patient Name | Mrs. DEBJANI KUMAR | Contact No | 9674210255 |
| Address | 80/C/6 G T ROAD WEST SERAMPORE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 73.8 KG |
| Pulse Rate | / min | Height | 155.7 cm BMI: 30.442417 |
| Diagnosis | |||