Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09607 | Date 11/05/2021 |
| Token No | SM/21-22/1320 11/05/2021 | Serial | 038 Last Visit: 12/05/2021 |
| Patient Name | Mrs. PINKI CHOWDHURY | Contact No | 6290420659 |
| Address | 101/A/62 G T ROAD SAPNANAGAR , BAIDYABATI(M) | Age | 28 YRS Female |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||