Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01258 | Date 22/09/2018 |
| Token No | SM/19-20/10375 14/09/2019 | Serial | 054 Last Visit: 04/05/2024 |
| Patient Name | Mrs. CHAMPA DAS | Contact No | 6289196203 |
| Address | RAJA K L GOSWAMI STREET | Age | 61 Years,4 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||