Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04513 | Date 02/04/2019 |
| Token No | SM/19-20/104 02/04/2019 | Serial | 042 Last Visit: 15/02/2025 |
| Patient Name | Mrs. MITHU BELAL | Contact No | 9681065536 |
| Address | CHATRA SHITLATALA LANKAR BAGAN , BAIDYABATI(M) | Age | 36 Years,1 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||