Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03175 | Date 25/01/2019 |
| Token No | SM/19-20/4864 20/06/2019 | Serial | 004 Last Visit: 27/07/2024 |
| Patient Name | Mrs. SIKHA DAS | Contact No | 9674944363 |
| Address | 135 A P GHOSH ROAD CHATRA SERAMPORE | Age | 59 Years,7 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||