Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02459 | Date 11/12/2018 |
| Token No | SM/18-19/5031 11/12/2018 | Serial | 011 Last Visit: 02/04/2025 |
| Patient Name | Mrs. MAMATA MONDAL | Contact No | 8617217694 |
| Address | 299 G T ROAD CHATRA MANOSHA TALA,BAIDAYBATY(M) | Age | 38 Years,10 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||