Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 13100 | Date 08/01/2024 |
| Token No | SM/22-23/28446 29/01/2024 | Serial | 004 Last Visit: 21/05/2024 |
| Patient Name | Mrs. JHUMA CHONGHDAR | Contact No | 9874856093 |
| Address | BAHIR SERAMPORE | Age | 32 Years,9 Months,24 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54.9 KG |
| Pulse Rate | / min | Height | 159 cm BMI: 21.715913 |
| Diagnosis | |||