Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00576 | Date 20/08/2018 |
| Token No | SM/18-19/2847 13/10/2018 | Serial | 001 Last Visit: 29/05/2023 |
| Patient Name | Mrs. PRAMILA BISWAS | Contact No | 9874943517 |
| Address | 203/75 TELIPARA CHATRA, BAIDYABATI(M) | Age | 70 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||