Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00018 | Date 01/08/2018 |
| Token No | SM/18-19/11590 30/03/2019 | Serial | 005 Last Visit: 17/09/2024 |
| Patient Name | Mrs. SUMITRA HALDER | Contact No | 9038786029 |
| Address | 301/F CHATRA BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 51 Years,8 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||