Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00456 | Date 14/08/2018 |
| Token No | SM/18-19/2729 10/10/2018 | Serial | 054 Last Visit: 05/08/2021 |
| Patient Name | Mrs. TARA MONDAL | Contact No | 9163457883 |
| Address | CHATRA BAGER BAGAN BAIDYABATI (M) | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 106/66 mmHg | Weight | 69 KG |
| Pulse Rate | 79 / min | Height | cm BMI: inf |
| Diagnosis | |||