Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06159 | Date 19/08/2019 |
| Token No | SM/19-20/8720 19/08/2019 | Serial | 174 Last Visit: 05/02/2024 |
| Patient Name | Miss RIMPA RUI DAS | Contact No | 7439872479 |
| Address | 51/33 HARIJAN ROAD , BAIDYABATI(M) | Age | 19 Years,1 Months,3 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||