Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04026 | Date 06/03/2019 |
| Token No | SM/18-19/9947 06/03/2019 | Serial | 037 Last Visit: 30/09/2024 |
| Patient Name | Mrs. MOHUYA DUTTA | Contact No | 9062271011 |
| Address | 75(39/J) G. T. ROAD,BAIDYABATI(M) | Age | 32 Years,0 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 77 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||