Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01677 | Date 26/10/2018 |
| Token No | SM/18-19/9986 06/03/2019 | Serial | 076 Last Visit: 03/03/2025 |
| Patient Name | Mrs. KALYANI DAS | Contact No | 8017649470 |
| Address | CHATRA PAMPA NAGAR , BAIDYABATI(M) | Age | 66 Years,2 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||