Ticket for Outdoor Patient
Ward No.  2 U-PHC No.   Registration No.  05817 Date  17/07/2019
Token No SM/19-20/6725   17/07/2019 Serial 097   Last Visit: 17/07/2019
Patient Name Miss SHAMPA DAS Contact No7998506845
Address CHATRA BAGER BAGAN TELIPARA Age 16 YRS   Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm    BMI: nan
Diagnosis