Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08664 | Date 24/08/2020 |
| Token No | SM/19-20/25112 24/08/2020 | Serial | 054 Last Visit: 22/12/2023 |
| Patient Name | Mrs. SOBHA MANNA | Contact No | 8290077353 |
| Address | BEGHER BAGAN,MONASHA TALA,BAIDYABATI(M) | Age | 63 Years,11 Months,20 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||