Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09693 | Date 09/06/2021 |
| Token No | SM/24-25/32257 07/05/2024 | Serial | 037 Last Visit: 07/05/2024 |
| Patient Name | Mrs. KAJAL SANTRA | Contact No | |
| Address | 39/E G.T ROAD BAIDHYABATI | Age | 61 Years,4 Months,5 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||