Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04185 | Date 12/03/2019 |
| Token No | SM/19-20/17444 01/02/2020 | Serial | 055 Last Visit: 19/10/2024 |
| Patient Name | Mrs. PRATIMA PRAMANIK | Contact No | 8820645899 |
| Address | 121 GOILA PARA LANE SHEWRAPHULI PANCHANAN TALA , BAIDYABATI(M) | Age | 58 Years,9 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 34 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||