Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07575 | Date 18/02/2020 |
| Token No | SM/19-20/18328 18/02/2020 | Serial | 063 Last Visit: 04/12/2025 |
| Patient Name | Mrs. TANUSHREE SENAPATI | Contact No | 9143555982 |
| Address | 74 CHATRA MUKHERJEE PARA , BAIDYABATI(M) | Age | 47 Years,11 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||