Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06029 | Date 01/08/2019 |
| Token No | SM/19-20/7717 01/08/2019 | Serial | 048 Last Visit: 01/08/2019 |
| Patient Name | Mrs. GITA MONDAL | Contact No | 9073333797 |
| Address | 95 G.T ROAD PAMPA NAGAR , BAIDYBATI(M) | Age | 35 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 44 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||