Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 02251 | Date 30/11/2018 |
| Token No | SM/18-19/9721 02/03/2019 | Serial | 040 Last Visit: 20/07/2020 |
| Patient Name | Mrs. BANDANA BENERJEE | Contact No | 8282810515 |
| Address | 301 V TELI PARA BOU BAZAR,BAIDAYBATY(M) | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||