Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 02970 | Date 11/01/2019 |
| Token No | SM/19-20/21152 15/04/2020 | Serial | 036 Last Visit: 24/07/2024 |
| Patient Name | Mrs. SUSMITA SAHA | Contact No | 8777484574 |
| Address | 279 N.S ROAD ANJANGAR, BAIDYABATI(M) | Age | 36 Years,6 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||