Ticket for Outdoor Patient
Ward No.  20 U-PHC No.   Registration No.  04635 Date  09/04/2019
Token No SM/19-20/551   09/04/2019 Serial 005   Last Visit: 09/04/2019
Patient Name Miss GAYATRI SHAW Contact No9903254101
Address RAMKRISHNA NAGAR NICHU MATH, SHEORAPHULY, BAIDYABATI M Age 10 Y  Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm    BMI: nan
Diagnosis