Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03866 | Date 26/02/2019 |
| Token No | SM/19-20/4193 08/06/2019 | Serial | 041 Last Visit: 08/06/2019 |
| Patient Name | Mrs. PAPIYA CHAKRABORTY | Contact No | 0332652225 |
| Address | PEARAPUR ROAD BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 72 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||