Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07712 | Date 05/03/2020 |
| Token No | SM/19-20/19132 05/03/2020 | Serial | 013 Last Visit: 05/03/2020 |
| Patient Name | Miss KAJOL BISOI | Contact No | 9903275728 |
| Address | 79 MUKHERJEE PARA , BAIDYABATI(M) | Age | 12 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||