Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 04429 | Date 27/03/2019 |
| Token No | SM/19-20/11486 01/10/2019 | Serial | 104 Last Visit: 16/08/2024 |
| Patient Name | Mrs. GITA DEBNATH | Contact No | 8697291880 |
| Address | 376 N S ROAD ANJANGAR BAIDYABATI (M) | Age | 57 Years,7 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||