Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07355 | Date 17/01/2020 |
| Token No | SM/19-20/16790 17/01/2020 | Serial | 011 Last Visit: 24/01/2020 |
| Patient Name | Mrs. SARSWATI DUTTA | Contact No | 6296345393 |
| Address | GOBINDAPUR, DIARA, HOOGHLY ,WEST BENGAL,712223 | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||