Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12158 | Date 15/06/2023 |
| Token No | SM/22-23/22243 15/06/2023 | Serial | 015 Last Visit: 15/06/2023 |
| Patient Name | Mrs. JYOTI KUMARI SHAW | Contact No | 9051306023 |
| Address | 25 BAZAR BY LANE SERAMPORE | Age | 25 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 151.6 cm BMI: 19.580064 |
| Diagnosis | |||