Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04159 | Date 11/03/2019 |
| Token No | SM/18-19/10356 11/03/2019 | Serial | 065 Last Visit: 17/10/2024 |
| Patient Name | Mrs. KAJAL DALAL | Contact No | 9874875953 |
| Address | CHATRA TETUL TALA , GODAR BAGAN BAIDYABATI (M) | Age | 45 Years,9 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||