Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06558 | Date 27/09/2019 |
| Token No | SM/19-20/11205 27/09/2019 | Serial | 016 Last Visit: 24/02/2025 |
| Patient Name | Miss SRILEKHA BISWAS | Contact No | 6290624194 |
| Address | 6 J.M LEHIRI LANE | Age | 23 Years,1 Months,23 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||