Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03254 | Date 31/01/2019 |
| Token No | SM/18-19/7676 31/01/2019 | Serial | 050 Last Visit: 03/04/2020 |
| Patient Name | Mrs. REKHA HALDER | Contact No | 9674039044 |
| Address | BAGER BAGAN,BAIDYABATY(M) | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||