Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00004 | Date 01/08/2018 |
| Token No | SM/19-20/4025 06/06/2019 | Serial | 001 Last Visit: 31/12/2024 |
| Patient Name | Mrs. MALATI BAG | Contact No | 8622021520 |
| Address | TELIPARA PARA BAGER BAGAN BAIDYABATI(M) | Age | 57 Years,11 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 100/70 mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||