Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07772 | Date 13/03/2020 |
| Token No | SM/19-20/19531 13/03/2020 | Serial | 005 Last Visit: 12/12/2020 |
| Patient Name | Mrs. MAYA RANI DAS | Contact No | 8961174577 |
| Address | CHATRA BAGHER BAGAN TELI PARA,BAIDYABATI(M) | Age | 67 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||