Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02229 | Date 30/11/2018 |
| Token No | SM/18-19/4684 05/12/2018 | Serial | 008 Last Visit: 24/02/2025 |
| Patient Name | Mrs. JAYANTI JANA | Contact No | 9674434247 |
| Address | 163 (73/C) TELIPARA ,BAGER BAGAN BAIDYABATI (M) | Age | 60 Years,1 Months,23 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||