Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03582 | Date 14/02/2019 |
| Token No | SM/22-23/26412 23/11/2023 | Serial | 051 Last Visit: 23/11/2023 |
| Patient Name | Mrs. BANDANA BAG | Contact No | 9339058759 |
| Address | 23 SATCHASI PARA,LANKER GAGAN,BAIDYABATI(M) | Age | 55 Years,10 Months,21 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 65.4 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||