Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01633 | Date 11/10/2018 |
| Token No | SM/19-20/24037 13/07/2020 | Serial | 007 Last Visit: 13/07/2020 |
| Patient Name | Mrs. PUJA BHADRA | Contact No | 9883479900 |
| Address | CHATRA LANKER BAGAN,BAIDYABATI(M) | Age | 23 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||