Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07685 | Date 02/03/2020 |
| Token No | SM/24-25/38930 02/11/2024 | Serial | 023 Last Visit: 02/11/2024 |
| Patient Name | Mrs. JHUNU DAS | Contact No | 9874172461 |
| Address | 10/V GODAR BAGAN BYE LANE CHATRA , BAIDYABATI(M) | Age | 37 Years,10 Months,1 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||