Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03616 | Date 16/02/2019 |
| Token No | SM/20-21/29728 25/01/2021 | Serial | 012 Last Visit: 16/05/2024 |
| Patient Name | Mrs. DEBOLA PARUI | Contact No | 8981817551 |
| Address | 181 CHATRA BAGHER BAGAN,BAIDYABATI(M) | Age | 66 Years,4 Months,13 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||