Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10557 | Date 14/01/2022 |
| Token No | SM/24-25/39623 19/11/2024 | Serial | 049 Last Visit: 19/11/2024 |
| Patient Name | Mrs. ANIMA DAS | Contact No | 8910461251 |
| Address | 242 CHATRA BAGHER BAGAN,BAIDYABATI(M) | Age | 46 Years,10 Months,18 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||