Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07337 | Date 14/01/2020 |
| Token No | SM/19-20/16686 14/01/2020 | Serial | 015 Last Visit: 04/04/2025 |
| Patient Name | Mrs. SULEKHA KAYAL | Contact No | |
| Address | TELIPARA BAGHER BAGAN CHATRA,BAIDYABATI(M) | Age | 55 Years,3 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||