Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 04391 | Date 26/03/2019 |
| Token No | SM/19-20/818 12/04/2019 | Serial | 055 Last Visit: 20/04/2019 |
| Patient Name | Mrs. ARATI PAL | Contact No | 6290024514 |
| Address | 109A J.L GUPTA LANE BAIDYAPARA , BAIDYABATI(M) | Age | 57 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 42 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||