Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12172 | Date 23/06/2023 |
| Token No | SM/22-23/22377 23/06/2023 | Serial | 009 Last Visit: 24/04/2024 |
| Patient Name | Mrs. ANSURA BEGAM | Contact No | 9804907832 |
| Address | 61/A/C G T ROAD PAMPANAGAR , BAIDYABATI (M) | Age | 52 Years,3 Months,22 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 144/90 mmHg | Weight | 42.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||