Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 03490 | Date 12/02/2019 |
| Token No | SM/18-19/9669 01/03/2019 | Serial | 044 Last Visit: 06/11/2024 |
| Patient Name | Miss SUDHA RAUTH | Contact No | 7596823330 |
| Address | 270/C CHARA BAGAN BAURI , BAIDYABATI (M) | Age | 22 Years,10 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||