Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09484 | Date 19/04/2021 |
| Token No | SM/21-22/561 19/04/2021 | Serial | 028 Last Visit: 30/03/2024 |
| Patient Name | Miss TUHINA MONDAL | Contact No | 7278735262 |
| Address | 299,CHATRA MONOSHA TALA BAIDHYABATI | Age | 17 Years,11 Months,24 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||