Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 02936 | Date 10/01/2019 |
| Token No | SM/18-19/6584 10/01/2019 | Serial | 011 Last Visit: 19/11/2024 |
| Patient Name | Mrs. MIRA DEBI | Contact No | |
| Address | 22 RAJA K L GOSWAMI STREET | Age | 46 Years,10 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||