Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 04922 | Date 26/04/2019 |
| Token No | SM/24-25/31279 12/04/2024 | Serial | 003 Last Visit: 12/04/2024 |
| Patient Name | Mrs. ANNO PAL | Contact No | |
| Address | PAMPA NAGAR, BAIDYABATI(M) | Age | 51 Years,3 Months,9 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 50 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||