Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00051 | Date 02/08/2018 |
| Token No | SM/19-20/521 08/04/2019 | Serial | 085 Last Visit: 18/09/2024 |
| Patient Name | Mrs. TUMPA DHENKI | Contact No | 8420676246 |
| Address | 45, A.P. GHOSH ROAD | Age | 28 Years,8 Months,17 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||