Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06732 | Date 22/10/2019 |
| Token No | SM/19-20/17587 04/02/2020 | Serial | 024 Last Visit: 02/08/2024 |
| Patient Name | Miss SOUMI PAUL | Contact No | 9681107803 |
| Address | 146 G.T ROAD BOWBAZAR , BAIDYABATI(M) | Age | 18 Years,7 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||