Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01839 | Date 01/11/2018 |
| Token No | SM/18-19/6147 02/01/2019 | Serial | 056 Last Visit: 29/01/2024 |
| Patient Name | Mrs. ANJU DAS | Contact No | 8107899459 |
| Address | CHATRA BAGHER BAGAN(TELI PARA)BAIDYABATI(M) | Age | 49 Years,0 Months,27 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||