Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 04693 | Date 12/04/2019 |
| Token No | SM/19-20/897 16/04/2019 | Serial | 013 Last Visit: 16/04/2019 |
| Patient Name | Mrs. SABITA GHOSH | Contact No | 9163424399 |
| Address | 31 T.P BHATCHARJEE STREET , SERAMPORE (M) | Age | 44 YRS Female |
| Token For | Medicine,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||