Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 06088 | Date 08/08/2019 |
| Token No | SM/19-20/8161 08/08/2019 | Serial | 026 Last Visit: 08/08/2019 |
| Patient Name | Mrs. SOBITA DEY | Contact No | 7278080223 |
| Address | 593 PIARAPUR LANE,J. K. ROAD,BAIDYABATI(M) | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 75 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||