Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 12224 | Date 10/07/2023 |
| Token No | SM/22-23/23639 18/08/2023 | Serial | 013 Last Visit: 16/10/2023 |
| Patient Name | Mrs. PUTUL RAJBHAR | Contact No | 6291365302 |
| Address | 39 LAL BAHADUR SHASTRI ROAD SERAMPORE | Age | 27 Years,9 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | 157.3 cm BMI: 16.974299 |
| Diagnosis | |||