Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03324 | Date 02/02/2019 |
| Token No | SM/18-19/7874 02/02/2019 | Serial | 063 Last Visit: 23/04/2024 |
| Patient Name | Mrs. PURNIMA DHARA | Contact No | 9874945637 |
| Address | 49/A DOKKHIN BHATTACHARJEE PARA,BAIDYABATI(M) | Age | 40 Years,3 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||