Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00639 | Date 23/08/2018 |
| Token No | SM/18-19/7515 29/01/2019 | Serial | 008 Last Visit: 09/08/2019 |
| Patient Name | Mrs. PUNAM CHAKRABORTY | Contact No | 9883443146 |
| Address | 4 ROY GHAT LANE , SERAMPORE HOOGHLY | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||