Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12761 | Date 25/11/2023 |
| Token No | SM/22-23/27793 04/01/2024 | Serial | 006 Last Visit: 07/02/2024 |
| Patient Name | Mrs. LALITA DEVI | Contact No | 9123651867 |
| Address | 25/A KUMIR JALA ROAD, SERAMPORE | Age | 28 Years,6 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51.6 KG |
| Pulse Rate | / min | Height | 156.5 cm BMI: 21.067889 |
| Diagnosis | |||