Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04655 | Date 09/04/2019 |
| Token No | SM/19-20/6324 11/07/2019 | Serial | 074 Last Visit: 03/11/2025 |
| Patient Name | Mrs. JHARNA PAL | Contact No | 8961457525 |
| Address | CHATRA MANNA PARA,BAIDYABATI(M) | Age | 70 Years,10 Months,2 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 47 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||