Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 12373 | Date 25/08/2023 |
| Token No | SM/22-23/26543 29/11/2023 | Serial | 003 Last Visit: 29/11/2023 |
| Patient Name | Mrs. BRAJABALA MONDAL | Contact No | |
| Address | GODAR BAGAN LANE PAMPA NAGAR, BAIDYABATI (M) | Age | 62 Years,11 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39.7 KG |
| Pulse Rate | / min | Height | 140.5 cm BMI: 20.111194 |
| Diagnosis | |||