Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02901 | Date 08/01/2019 |
| Token No | SM/19-20/13878 23/11/2019 | Serial | 073 Last Visit: 27/03/2024 |
| Patient Name | Mrs. ALPANA MAITI | Contact No | 9331831750 |
| Address | PAMPA NAGER,G T ROAD | Age | 44 Years,2 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||