Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01357 | Date 26/09/2018 |
| Token No | SM/19-20/13545 19/11/2019 | Serial | 042 Last Visit: 15/11/2024 |
| Patient Name | Mrs. MALINA ADAK | Contact No | 7688016680 |
| Address | CHATRA KUMAR BAGAN,BAIDYABATI | Age | 51 Years,10 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||