Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01155 | Date 15/09/2018 |
| Token No | SM/24-25/34848 11/07/2024 | Serial | 056 Last Visit: 11/07/2024 |
| Patient Name | Mrs. JHUMPA KHAN | Contact No | 900763926 |
| Address | 156/73, G.T ROAD , BAIDYABATI(M) | Age | 25 Years,6 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 110/80 mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||