Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07371 | Date 20/01/2020 |
| Token No | SM/19-20/18224 17/02/2020 | Serial | 048 Last Visit: 17/02/2020 |
| Patient Name | Mrs. BABY DUTTA | Contact No | 8385861527 |
| Address | PAHLAMPUR DIARA , SINGUR | Age | 43 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||