Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09375 | Date 22/03/2021 |
| Token No | SM/20-21/31195 26/03/2021 | Serial | 006 Last Visit: 14/02/2025 |
| Patient Name | Mrs. KANAK MANDAL | Contact No | 9874915870 |
| Address | BAGAR BAGAN CHATRA BAIDYABATI M | Age | 58 Years,1 Months,14 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||