Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03618 | Date 16/02/2019 |
| Token No | SM/19-20/293 04/04/2019 | Serial | 082 Last Visit: 15/11/2025 |
| Patient Name | Mrs. SUJATA PAL | Contact No | 7687015267 |
| Address | 105/A/B CHATRA TETUL TALA ,MANIK GHOSER BAGAN,BAIDYABATI(M) | Age | 45 Years,4 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||