Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04807 | Date 22/04/2019 |
| Token No | SM/19-20/1329 22/04/2019 | Serial | 044 Last Visit: 13/12/2023 |
| Patient Name | Mrs. ARCHANA CHOWDHURY | Contact No | 7439357580 |
| Address | CHATRA BAGER BAGAN TELI PARA , BAIDYABATI(M) | Age | 62 Years,11 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||