Ticket for Outdoor Patient
Ward No.  4 U-PHC No.   Registration No.  05644 Date  02/07/2019
Token No SM/19-20/5767   02/07/2019 Serial 057   Last Visit: 02/07/2019
Patient Name Mrs. MAHARANI PAL Contact No8017956474
Address 90/B G. T. ROAD,CHATRA TETUL TALA,BAIDYABATI(M) Age 72 YRS  Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm    BMI: nan
Diagnosis