Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04340 | Date 23/03/2019 |
| Token No | SM/18-19/11333 27/03/2019 | Serial | 037 Last Visit: 05/04/2019 |
| Patient Name | Mrs. CHABI DUTTA | Contact No | 9674806109 |
| Address | CHATRA BARUI PARA , SERAMPORE | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||