Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06158 | Date 19/08/2019 |
| Token No | SM/22-23/14520 12/07/2022 | Serial | 031 Last Visit: 09/02/2024 |
| Patient Name | Mrs. SEPHALI RUIDAS | Contact No | 9133722304 |
| Address | 51/33 HARIJAN ROAD , BAIDYABATI(M) | Age | 42 Years,1 Months,8 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | 145.5 cm BMI: 17.004995 |
| Diagnosis | |||