Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07124 | Date 11/12/2019 |
| Token No | SM/19-20/15695 21/12/2019 | Serial | 003 Last Visit: 02/09/2024 |
| Patient Name | Mrs. SAGARIKA PAL | Contact No | 9088648078 |
| Address | 39 CHATRA,MANIK GHOSHER BAGAN,BAIDYABATI(M) | Age | 64 Years,8 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 55 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||