Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08934 | Date 05/11/2020 |
| Token No | SM/20-21/27173 05/11/2020 | Serial | 034 Last Visit: 05/11/2020 |
| Patient Name | Mrs. MALOTI RUYDAS | Contact No | 9748665937 |
| Address | 156/73/F TELIPARA BAGER BAGAN SERAMPORE | Age | 40 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||