Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09363 | Date 19/03/2021 |
| Token No | SM/20-21/30951 19/03/2021 | Serial | 060 Last Visit: 10/01/2024 |
| Patient Name | Mrs. SABITRI MONDAL | Contact No | 8334880073 |
| Address | TELIPARA BAGER BAGAN BAIDYABATI(M) CHATRA | Age | 64 Years,0 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||