Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 07458 | Date 03/02/2020 |
| Token No | SM/19-20/17489 03/02/2020 | Serial | 019 Last Visit: 03/02/2020 |
| Patient Name | Mrs. BIDYA MALLIK | Contact No | 9330882127 |
| Address | 170 N. S. EVINEU,SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||