Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13208 | Date 06/02/2024 |
| Token No | SM/22-23/30244 12/03/2024 | Serial | 039 Last Visit: 12/03/2024 |
| Patient Name | Mrs. SHOVA GHOSH | Contact No | |
| Address | 181/1 CHATRA SATCHASI PARA , BAIDYABATI (M) | Age | 53 Years,11 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 130/80 mmHg | Weight | 71.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||