Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01799 | Date 31/10/2018 |
| Token No | SM/18-19/11048 23/03/2019 | Serial | 052 Last Visit: 22/07/2023 |
| Patient Name | Mrs. CHABI RANI KUNDU | Contact No | 9875694146 |
| Address | 148/1 SEORAPHULI,SHIB TALA, BAIDYABATI (M) | Age | 54 Years,6 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||