Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12513 | Date 25/09/2023 |
| Token No | SM/22-23/24667 25/09/2023 | Serial | 005 Last Visit: 25/09/2023 |
| Patient Name | Mrs. UMA ADGIRI | Contact No | 8585878381 |
| Address | 486/320 GT ROAD CHATRA SERAMPORE | Age | 52 Years,9 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45.8 KG |
| Pulse Rate | / min | Height | 144.6 cm BMI: 21.904275 |
| Diagnosis | |||