Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02324 | Date 04/12/2018 |
| Token No | SM/18-19/4633 04/12/2018 | Serial | 019 Last Visit: 11/01/2019 |
| Patient Name | Mrs. SANDHYA MONDAL | Contact No | 8017854602 |
| Address | CHATRA MANNA PARA,BAIDYABATY(M) | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||