Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00154 | Date 06/08/2018 |
| Token No | SM/19-20/17631 05/02/2020 | Serial | 007 Last Visit: 24/08/2023 |
| Patient Name | Mrs. ALPANA BEHARA | Contact No | 9674249376 |
| Address | 301/I/A CHATRA TELI PARA, BAIDYABATI(M) | Age | 42 Years,0 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||