Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06468 | Date 19/09/2019 |
| Token No | SM/19-20/19112 04/03/2020 | Serial | 086 Last Visit: 27/12/2023 |
| Patient Name | Miss REETAM BHARA GHOSH | Contact No | 9830802657 |
| Address | 14 BHATTCHARYA PARA CHATRA , BAIDYABATI (M) | Age | 18 Years,11 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 43 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||