Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07953 | Date 28/03/2020 |
| Token No | SM/19-20/20864 07/04/2020 | Serial | 042 Last Visit: 07/04/2020 |
| Patient Name | Mrs. TUKTUKI ROY | Contact No | 7059586137 |
| Address | POMPA NAGAR,BAIDYABATI(M) | Age | 19 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||