Ticket for Outdoor Patient
Ward No.  0 U-PHC No.   Registration No.  04750 Date  17/04/2019
Token No SM/19-20/1078   17/04/2019 Serial 085   Last Visit: 17/04/2019
Patient Name Mrs. CHAITALI KUNDU DAS Contact No9883531363
Address 16 PN CHAKRABORTY LANE CHATRA SERAMPORE Age 32 YRS   Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm    BMI: nan
Diagnosis