Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06214 | Date 24/08/2019 |
| Token No | SM/19-20/9045 24/08/2019 | Serial | 022 Last Visit: 31/08/2019 |
| Patient Name | Mrs. MUNMUN PAL | Contact No | 9903794047 |
| Address | BANGIHATI , PURBAPARA, SERAMPORE MALLICK PARA | Age | 42 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||