Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 04985 | Date 30/04/2019 |
| Token No | SM/19-20/7877 05/08/2019 | Serial | 016 Last Visit: 05/08/2019 |
| Patient Name | Mrs. UMA BOSE | Contact No | 6291136169 |
| Address | BARASAT MONO MANI PUR, BARASAT(M) | Age | 41 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 56.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||