Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03480 | Date 09/02/2019 |
| Token No | SM/20-21/30952 19/03/2021 | Serial | 061 Last Visit: 05/07/2022 |
| Patient Name | Mrs. SUBHRA SOM | Contact No | 9830487795 |
| Address | CHATRA SHITLATALA , BAIDYABATI(M) | Age | 55 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||