Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07617 | Date 24/02/2020 |
| Token No | SM/19-20/18759 27/02/2020 | Serial | 047 Last Visit: 27/02/2020 |
| Patient Name | Mrs. PRITI BEGAM | Contact No | 8240088672 |
| Address | 5 BARIN GHOSH LANE ,SERAMPORE | Age | 26 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||