Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05882 | Date 22/07/2019 |
| Token No | SM/19-20/15259 14/12/2019 | Serial | 024 Last Visit: 10/12/2025 |
| Patient Name | Mrs. SHEPHALI PAL | Contact No | 9732672885 |
| Address | 146 G.T ROAD BOWBAZAR, BAIDYABATI(M) | Age | 85 Years,11 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||