Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06762 | Date 26/10/2019 |
| Token No | SM/19-20/12498 31/10/2019 | Serial | 019 Last Visit: 01/11/2019 |
| Patient Name | Mrs. BRITHIKA RANI CHATTERJEE | Contact No | 9163484336 |
| Address | SULTANPUR GHATAL PASCHIM MEDINIPUR | Age | 64 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||