Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00131 | Date 04/08/2018 |
| Token No | SM/18-19/134 04/08/2018 | Serial | 030 Last Visit: 21/03/2024 |
| Patient Name | Mrs. MALATI DEY | Contact No | |
| Address | CHATRA BAGER BAGAN | Age | 39 Years,2 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 113/73 mmHg | Weight | 54 KG |
| Pulse Rate | 85 / min | Height | cm BMI: inf |
| Diagnosis | |||