Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02419 | Date 08/12/2018 |
| Token No | SM/21-22/7167 25/11/2021 | Serial | 031 Last Visit: 31/01/2025 |
| Patient Name | Mrs. ANNA KAYAL | Contact No | 9883967416 |
| Address | CHATRA BAGER BAGAN , BAIDYABATIN (M) | Age | 38 Years,0 Months,0 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||