Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03289 | Date 01/02/2019 |
| Token No | SM/19-20/20915 08/04/2020 | Serial | 039 Last Visit: 23/09/2024 |
| Patient Name | Miss SALMA KHATUN | Contact No | 7450862616 |
| Address | G T ROAD PAMOA NAGER ,CHATRA,BAIDYABATI(M) | Age | 29 Years,5 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||