Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 07091 | Date 06/12/2019 |
| Token No | SM/19-20/20370 27/03/2020 | Serial | 018 Last Visit: 27/03/2020 |
| Patient Name | Mrs. RANI DUTTA | Contact No | 9874540975 |
| Address | 287 CHARABAGAN BAUREPARA, BAIDYABATI(M) | Age | 63 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||