Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09151 | Date 11/01/2021 |
| Token No | SM/20-21/29373 15/01/2021 | Serial | 006 Last Visit: 02/02/2021 |
| Patient Name | Mrs. SOMA DAS | Contact No | 9748347547 |
| Address | 2/A G T ROAD SERAMPORE, MALLICKPARA | Age | 38 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||