Ticket for Outdoor Patient
Ward No.  0 U-PHC No.   Registration No.  03400 Date  06/02/2019
Token No SM/19-20/2780   15/05/2019 Serial 020   Last Visit: 03/09/2019
Patient Name Mrs. BALIKA GHOSH Contact No9748995057
Address VILL BARUNAN PARA POLBA , TRIBENI Age 70 YRS   Female
Token For Pathology Test Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm    BMI: nan
Diagnosis