Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12286 | Date 27/07/2023 |
| Token No | SM/22-23/23187 27/07/2023 | Serial | 001 Last Visit: 27/07/2023 |
| Patient Name | Mrs. SHAMPA MONDAL | Contact No | 9903085015 |
| Address | 5/A RAY M.C LAHIRI BAHADUR STREET | Age | 32 Years,5 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/60 mmHg | Weight | 71.5 KG |
| Pulse Rate | / min | Height | 159 cm BMI: 28.282109 |
| Diagnosis | |||