Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01461 | Date 01/10/2018 |
| Token No | SM/19-20/13125 13/11/2019 | Serial | 052 Last Visit: 17/09/2024 |
| Patient Name | Mrs. ANJANA SIL | Contact No | 8478897075 |
| Address | CHATRA GODAR BAGAN BY LANE BAIDYABATI(M) | Age | 43 Years,8 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 32 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||