Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06924 | Date 20/11/2019 |
| Token No | SM/19-20/13593 20/11/2019 | Serial | 002 Last Visit: 30/11/2019 |
| Patient Name | Mrs. PRATIMA MANDAL | Contact No | 9163888546 |
| Address | 51/18 LANKAR BAGAN CHATRA , BAIDYABATI(M) | Age | 53 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||