Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02793 | Date 02/01/2019 |
| Token No | SM/18-19/6157 02/01/2019 | Serial | 066 Last Visit: 05/03/2019 |
| Patient Name | Mrs. ALPANA DEY | Contact No | 9339324932 |
| Address | CHATRA MANIK GHOSH ER BAGAN,BAIDYABATY(M) | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 86 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||