Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03407 | Date 06/02/2019 |
| Token No | SM/19-20/16050 30/12/2019 | Serial | 039 Last Visit: 30/12/2019 |
| Patient Name | Mrs. MANIKA PAL | Contact No | 8481869280 |
| Address | CHATRA,TETUL TALA BAZAR,BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||