Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08893 | Date 19/10/2020 |
| Token No | SM/20-21/26790 19/10/2020 | Serial | 001 Last Visit: 19/10/2020 |
| Patient Name | Mrs. SOVA BHATTCHARJEE | Contact No | 8697053071 |
| Address | 68 D N MUKHERJEE ROAD, BAIDYABATI(M) | Age | 60 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | 160/80 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||