Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03076 | Date 18/01/2019 |
| Token No | SM/18-19/7062 18/01/2019 | Serial | 066 Last Visit: 03/01/2024 |
| Patient Name | Mrs. KALYANI GHENRY | Contact No | 7044340654 |
| Address | 162D/D BAGER BAGAN TELI PARA CHATRA , BAIDYABATI(M) | Age | 37 Years,0 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||