Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00086 | Date 03/08/2018 |
| Token No | SM/18-19/87 03/08/2018 | Serial | 004 Last Visit: 17/09/2024 |
| Patient Name | Mrs. PRATIBHA KURI | Contact No | 6290624194 |
| Address | 6 J.M LAHIRI LANE | Age | 63 Years,8 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 142/75 mmHg | Weight | 49 KG |
| Pulse Rate | 70 / min | Height | cm BMI: inf |
| Diagnosis | |||