Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03237 | Date 30/01/2019 |
| Token No | SM/19-20/14416 02/12/2019 | Serial | 009 Last Visit: 08/11/2025 |
| Patient Name | Mrs. SUTAPA DAS | Contact No | 6289474435 |
| Address | 40 NABIN CHAKRABORTY LANE , BAIDYABATI(M) | Age | 44 Years,10 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||