Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12108 | Date 22/05/2023 |
| Token No | SM/22-23/21795 22/05/2023 | Serial | 032 Last Visit: 22/05/2023 |
| Patient Name | Mrs. SARMISTHA DAS (DEY) | Contact No | 6291765574 |
| Address | 36, DHARMOTALA LANE CHATRA SERAMPORE | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 58.4 KG |
| Pulse Rate | / min | Height | 143.5 cm BMI: 28.360184 |
| Diagnosis | |||