Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07511 | Date 10/02/2020 |
| Token No | SM/19-20/20381 27/03/2020 | Serial | 029 Last Visit: 28/06/2025 |
| Patient Name | Mrs. MALATI MONDAL | Contact No | 9836525799 |
| Address | 206A/A TELIPARA BAGHER BAGAN,BAIDYABATI(M) | Age | 67 Years,4 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||