Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11812 | Date 28/12/2022 |
| Token No | SM/22-23/19285 28/12/2022 | Serial | 010 Last Visit: 20/07/2023 |
| Patient Name | Mrs. MANABI DAS | Contact No | 6289283450 |
| Address | POMPANAGR,BAIDYABATI(M) | Age | 38 Years,4 Months,11 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 18.017206 |
| Diagnosis | |||