Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04542 | Date 04/04/2019 |
| Token No | SM/20-21/27190 05/11/2020 | Serial | 051 Last Visit: 26/08/2021 |
| Patient Name | Mrs. MINATI HALDER | Contact No | 9674871505 |
| Address | CHATRA SACHASI PARA LANKAR BAGAN | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||