Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01814 | Date 01/11/2018 |
| Token No | SM/18-19/9787 02/03/2019 | Serial | 106 Last Visit: 19/08/2024 |
| Patient Name | Mrs. GITA PARUI | Contact No | 9748025666 |
| Address | 14 HARI JAN ROAD ,CHATRA LANKAR BAGAN , BAIDYABATI(M) | Age | 28 Years,2 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 70 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||