Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 06964 | Date 23/11/2019 |
| Token No | SM/19-20/13824 23/11/2019 | Serial | 019 Last Visit: 23/11/2019 |
| Patient Name | Mrs. SHRABANI DAS | Contact No | 6289467503 |
| Address | 84, 3 NO LAHANAGAR COLONY , BAIDYABATI(M) | Age | 32 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||