Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02417 | Date 08/12/2018 |
| Token No | SM/19-20/2568 11/05/2019 | Serial | 056 Last Visit: 09/10/2023 |
| Patient Name | Mrs. SIKHA GHOSH | Contact No | 9051985820 |
| Address | 299, CHATRA MONSA TALA , BAIDYABATI (M) | Age | 46 Years,9 Months,6 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||