Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10663 | Date 11/02/2022 |
| Token No | SM/22-23/18459 01/12/2022 | Serial | 025 Last Visit: 20/08/2024 |
| Patient Name | Mrs. TUMPA SHARMA | Contact No | 9874241938 |
| Address | 145/B TELIPARA BAGER BAGAN BAIDYABATI | Age | 46 Years,7 Months,18 Days Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||