Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12154 | Date 14/06/2023 |
| Token No | SM/22-23/22937 17/07/2023 | Serial | 012 Last Visit: 17/07/2023 |
| Patient Name | Mrs. JAYEETA DAS | Contact No | 6290373199 |
| Address | 45/C BARABAGAN LANE SERAMPORE | Age | 34 Years,6 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77.2 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 31.520175 |
| Diagnosis | |||