Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 00338 | Date 10/08/2018 |
| Token No | SM/18-19/6635 10/01/2019 | Serial | 062 Last Visit: 03/04/2024 |
| Patient Name | Mrs. MAIMUN BIBI | Contact No | |
| Address | 4 K M BHATTACHARYA | Age | 71 Years,3 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||