Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02523 | Date 14/12/2018 |
| Token No | SM/19-20/12429 25/10/2019 | Serial | 045 Last Visit: 09/02/2024 |
| Patient Name | Miss POULAMI SHIL | Contact No | 8478897075 |
| Address | 97/A CHATRA GODAR BAGAN BYE LANE , BAIDYABATI(M) | Age | 29 Years,9 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||