Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02595 | Date 19/12/2018 |
| Token No | SM/18-19/5465 19/12/2018 | Serial | 029 Last Visit: 06/11/2023 |
| Patient Name | Mrs. PURNIMA DAS | Contact No | 7449775277 |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 63 Years,3 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 120/80 mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||