Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07758 | Date 11/03/2020 |
| Token No | SM/22-23/22350 22/06/2023 | Serial | 020 Last Visit: 13/01/2025 |
| Patient Name | Mrs. CHAMPA DAS | Contact No | 6289055471 |
| Address | 31A BARA BAGAN LANE MALLICKPARA SERAMPORE | Age | 41 Years,0 Months,12 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 138/78 mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | 151.5 cm BMI: 22.220044 |
| Diagnosis | |||