Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12411 | Date 01/09/2023 |
| Token No | SM/22-23/26343 18/11/2023 | Serial | 044 Last Visit: 23/11/2023 |
| Patient Name | Mrs. KALPANA HALDER | Contact No | 6289282193 |
| Address | 145/E BAGER BAGAN CHATRA BAIDYABATI (M) | Age | 56 Years,10 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 113/71 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||