Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04306 | Date 19/03/2019 |
| Token No | SM/18-19/10889 19/03/2019 | Serial | 082 Last Visit: 19/11/2025 |
| Patient Name | Mrs. MANA GHOSH | Contact No | 9051843723 |
| Address | 51 CHATRA DAKHIN BHATTCHARJEE PARA , BAIDYABATI(M) | Age | 72 Years,10 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||