Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 05875 | Date 20/07/2019 |
| Token No | SM/19-20/6978 20/07/2019 | Serial | 081 Last Visit: 20/07/2019 |
| Patient Name | Mrs. SIBANI GHOSH | Contact No | 9038453704 |
| Address | TARAPUKUR KOLONI | Age | 80 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||