Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01549 | Date 06/10/2018 |
| Token No | SM/19-20/16458 09/01/2020 | Serial | 059 Last Visit: 13/05/2024 |
| Patient Name | Mrs. LATIKA BISWASH | Contact No | 7278469861 |
| Address | 57/ M C G T ROAD | Age | 69 Years,4 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||