Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03839 | Date 23/02/2019 |
| Token No | SM/18-19/9375 23/02/2019 | Serial | 061 Last Visit: 01/10/2024 |
| Patient Name | Mrs. SUMITA DAS | Contact No | 8697585455 |
| Address | 319 (117/1 B) G T ROAD CHATRA MANSA TALA,BAIDYABATI(M) | Age | 49 Years,9 Months,30 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||