Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08086 | Date 16/04/2020 |
| Token No | SM/19-20/21923 05/05/2020 | Serial | 004 Last Visit: 22/04/2024 |
| Patient Name | Mrs. CHANDA DAS | Contact No | 9239546125 |
| Address | 178/73/E/7 TELI PARA,BAIDYABATI(M) | Age | 59 Years,3 Months,19 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||