Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05365 | Date 10/06/2019 |
| Token No | SM/19-20/5726 02/07/2019 | Serial | 016 Last Visit: 06/04/2021 |
| Patient Name | Mrs. PRABHA NAYEK | Contact No | 8981565149 |
| Address | 5K.M. BHATTACHARYA STREET SERAMPORE | Age | 68 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||