Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07083 | Date 05/12/2019 |
| Token No | SM/19-20/18111 15/02/2020 | Serial | 010 Last Visit: 10/03/2025 |
| Patient Name | Mrs. TAPATI GHOSH | Contact No | 9123991640 |
| Address | 190,77/2 TELI PARA BAGER BAGAN CHATRA , BAIDYABATI(M) | Age | 37 Years,4 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||