Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09153 | Date 11/01/2021 |
| Token No | SM/20-21/29243 11/01/2021 | Serial | 005 Last Visit: 20/01/2023 |
| Patient Name | Mrs. APARNA AOUN | Contact No | 9831444358 |
| Address | 81/39 E MANIKGHOSER BAGAN BAIDYABATI M | Age | 44 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||