Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 12998 | Date 21/12/2023 |
| Token No | SM/22-23/27406 21/12/2023 | Serial | 011 Last Visit: 21/12/2023 |
| Patient Name | Mrs. MOUSUMI BHATTACHARJEE | Contact No | 8583924389 |
| Address | 14 DAKSHIN BHATTCHARYYA BAIDYABATI (M) | Age | 51 Years,9 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59.5 KG |
| Pulse Rate | / min | Height | 153.2 cm BMI: 25.351253 |
| Diagnosis | |||