Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12291 | Date 28/07/2023 |
| Token No | SM/22-23/23230 28/07/2023 | Serial | 015 Last Visit: 28/07/2023 |
| Patient Name | Mrs. SARMISTHA DUTTA CHOWDHURY | Contact No | 8910053725 |
| Address | 6/H P N CHAKRABORTY LANE MODAN MOHAN VILLA, CHATRA SERAMPORE | Age | 32 Years,2 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 115/65 mmHg | Weight | 56.3 KG |
| Pulse Rate | / min | Height | 148 cm BMI: 25.703068 |
| Diagnosis | |||