Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01810 | Date 31/10/2018 |
| Token No | SM/18-19/3919 19/11/2018 | Serial | 086 Last Visit: 11/12/2024 |
| Patient Name | Mrs. SANDHYA RANI PRAMANICK | Contact No | 9681491270 |
| Address | CHATRA MANIK GHOSER BAGAN, BAIDYABATI (M) | Age | 52 Years,1 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||