Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05400 | Date 12/06/2019 |
| Token No | SM/19-20/5207 24/06/2019 | Serial | 073 Last Visit: 24/05/2024 |
| Patient Name | Mrs. SUDIPTA GUCHHAT | Contact No | 7278769134 |
| Address | 68 CHATRA MANA PARA RK ROAD , BAIDYABATI(M) | Age | 41 Years,7 Months,25 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||