Ticket for Outdoor Patient
Ward No.  3 U-PHC No.   Registration No.  03804 Date  22/02/2019
Token No SM/19-20/8057   06/08/2019 Serial 078   Last Visit: 08/08/2019
Patient Name Miss KOMAL SHAW Contact No7890225796
Address 10/K CHATRA ROY M.C. LAHIRI STREET Age 9 YRS   Female
Token For Medicine, Charge Free
B.P                  mmHg Weight             KG
Pulse Rate                  / min Height             cm    BMI: nan
Diagnosis