Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06158 | Date 19/08/2019 |
| Token No | SM/19-20/21091 13/04/2020 | Serial | 059 Last Visit: 09/02/2024 |
| Patient Name | Mrs. SEPHALI RUIDAS | Contact No | 9133722304 |
| Address | 51/33 HARIJAN ROAD , BAIDYABATI(M) | Age | 42 Years,1 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||