Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12312 | Date 04/08/2023 |
| Token No | SM/22-23/23372 04/08/2023 | Serial | 017 Last Visit: 04/08/2023 |
| Patient Name | Mrs. MOUMITA DAS MANDAL | Contact No | 8448115402 |
| Address | 85/7 G T ROAD WEST WESTERN PARK NEAR MALLICK PARA POST OFFICE , SERAMPORE | Age | 29 Years,4 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60.3 KG |
| Pulse Rate | / min | Height | 156 cm BMI: 24.778107 |
| Diagnosis | |||