Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05961 | Date 26/07/2019 |
| Token No | SM/19-20/7335 26/07/2019 | Serial | 004 Last Visit: 11/05/2023 |
| Patient Name | Mrs. SHRABANTI SEN | Contact No | 8282857462 |
| Address | 73(25A) TELI PARA BAGER BAGAN, BAIDYABATI(M) | Age | 32 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||