Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03594 | Date 15/02/2019 |
| Token No | SM/19-20/23072 13/06/2020 | Serial | 031 Last Visit: 02/01/2024 |
| Patient Name | Mrs. CHITRA NANDI | Contact No | |
| Address | 89/1 RAMKRISHNA ROAD,CHATRA MANNA PARA,BAIDYABATI(M) | Age | 73 Years,0 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||