Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 07338 | Date 14/01/2020 |
| Token No | SM/19-20/17024 22/01/2020 | Serial | 005 Last Visit: 22/01/2020 |
| Patient Name | Mrs. MEHERUNNESHA BEGAM | Contact No | 9062744231 |
| Address | 41/C K M BHATTACHARJJEE STREET | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||