Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04650 | Date 09/04/2019 |
| Token No | SM/19-20/15221 13/12/2019 | Serial | 057 Last Visit: 05/12/2024 |
| Patient Name | Mrs. JAMUNA BAG | Contact No | 9874057826 |
| Address | CHOTO BELUR CHECK POST | Age | 41 Years,11 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||