Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08052 | Date 09/04/2020 |
| Token No | SM/19-20/20962 09/04/2020 | Serial | 040 Last Visit: 12/04/2024 |
| Patient Name | Mrs. CHHABI NAYEK | Contact No | |
| Address | 150(39) D N MUKHERJEE ROAD,BAIDYABATI(M) | Age | 61 Years,3 Months,10 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||