Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00436 | Date 14/08/2018 |
| Token No | SM/18-19/6361 07/01/2019 | Serial | 015 Last Visit: 29/05/2024 |
| Patient Name | Mrs. SABITA SANYAL | Contact No | |
| Address | CHATRA TETULTALA , BAIDYABATI(M) | Age | 63 Years,4 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||