Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03221 | Date 29/01/2019 |
| Token No | SM/19-20/11838 16/10/2019 | Serial | 056 Last Visit: 27/11/2025 |
| Patient Name | Mrs. MALATI KAYAL | Contact No | 9836529718 |
| Address | 96/75F TELIPARA , BAIDYABATI(M) | Age | 60 Years,10 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||