Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 14502 | Date 08/11/2024 |
| Token No | SM/24-25/39104 08/11/2024 | Serial | 010 Last Visit: 31/12/2024 |
| Patient Name | Mrs. SUSAMA DAS | Contact No | 8961955860 |
| Address | 16/Y RAJA K.L.GOSWAMI STREET,ABANI BHABAN II,2ND FLOOR,FLAT NO.-S 3 | Age | 58 Years,3 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60.7 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 28.672311 |
| Diagnosis | |||