Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02005 | Date 16/11/2018 |
| Token No | SM/19-20/17283 27/01/2020 | Serial | 078 Last Visit: 12/06/2023 |
| Patient Name | Mrs. SARALA SARDAR | Contact No | 8017389491 |
| Address | BAGER BAGAN TELI PARA, BAIDYABATI(M) | Age | 78 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 140/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||