Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12212 | Date 08/07/2023 |
| Token No | SM/22-23/22694 08/07/2023 | Serial | 012 Last Visit: 08/07/2023 |
| Patient Name | Mrs. CHANDRIMA CHOUDHURI | Contact No | 9748047810 |
| Address | 60 THAKUR DAS BABU LANE | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 71 KG |
| Pulse Rate | / min | Height | 161.5 cm BMI: 27.221578 |
| Diagnosis | |||