Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 15319 | Date 17/05/2025 |
| Token No | SM/25-26/1433 17/05/2025 | Serial | 039 Last Visit: 17/05/2025 |
| Patient Name | Mrs. ANNAPURNA DAS | Contact No | 9681959585 |
| Address | 26/A KUMIR JALA ROAD SERAMPORE MALLICKPARA | Age | 85 Years,4 Months,15 Days Female |
| Token For | Medicine, | Charge | Free |
| B.P | 106/58 mmHg | Weight | 39.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||