Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03457 | Date 08/02/2019 |
| Token No | SM/19-20/18079 14/02/2020 | Serial | 036 Last Visit: 08/02/2024 |
| Patient Name | Mrs. KRISHNA PAL | Contact No | 9831887680 |
| Address | 32/29/2 CHATRA SHITLA TALA ROAD,BAIDYABATI(M) | Age | 61 Years,1 Months,7 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||