Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02620 | Date 20/12/2018 |
| Token No | SM/18-19/5991 29/12/2018 | Serial | 046 Last Visit: 16/08/2023 |
| Patient Name | Mrs. KAKALI MONDAL | Contact No | 8981194322 |
| Address | 11 CHATRA PATTI PARA , BAIDYABATI(M) | Age | 34 Years,7 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||