Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03842 | Date 23/02/2019 |
| Token No | SM/19-20/4351 11/06/2019 | Serial | 027 Last Visit: 30/12/2024 |
| Patient Name | Mrs. ARCHANA ROY | Contact No | 7003019301 |
| Address | 45/13/1 CHATRA,CHORKI GET,BAIDYABATI(M) | Age | 56 Years,11 Months,29 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 63 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||