Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06031 | Date 01/08/2019 |
| Token No | SM/19-20/13938 25/11/2019 | Serial | 047 Last Visit: 25/11/2019 |
| Patient Name | Mrs. PARBATI KOLEY | Contact No | 9804765711 |
| Address | 12C SC CHATERJEE ROAD BYE SERAMPORE | Age | 56 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||