Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04651 | Date 09/04/2019 |
| Token No | SM/19-20/608 09/04/2019 | Serial | 062 Last Visit: 09/04/2019 |
| Patient Name | Mrs. SWARNALI PAL | Contact No | 8902722225 |
| Address | 3 BASWANATH MUKHERJEE LANE | Age | 20 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 51 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||