Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 08788 | Date 28/09/2020 |
| Token No | SM/21-22/6393 29/10/2021 | Serial | 021 Last Visit: 27/11/2024 |
| Patient Name | Mrs. MANGALA MONDAL | Contact No | 8584090738 |
| Address | 127 BAGER BAGAN, CHATRA, HOOGHLY , 712204 BAIDYABATI (M) | Age | 38 Years,10 Months,26 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||