Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04931 | Date 26/04/2019 |
| Token No | SM/19-20/1770 27/04/2019 | Serial | 019 Last Visit: 09/12/2023 |
| Patient Name | Mrs. BARNALI BAG | Contact No | 9143252406 |
| Address | CHATRA LANKAR BAGAN SACTASHI PARA , BAIDYABATI(M) | Age | 29 Years,11 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||