Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08820 | Date 05/10/2020 |
| Token No | SM/20-21/26318 05/10/2020 | Serial | 054 Last Visit: 05/10/2020 |
| Patient Name | Mrs. KASTURI GHOSH | Contact No | 9830288313 |
| Address | 73/1/C/B RK ROAD CHATRA BADYABATI M | Age | 45 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||