Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00592 | Date 20/08/2018 |
| Token No | SM/19-20/10492 16/09/2019 | Serial | 093 Last Visit: 16/09/2019 |
| Patient Name | Mrs. DIPA SAHA | Contact No | 9836755606 |
| Address | 35/A B B GHOSH ROAD PROBASNAGAR SERAMPORE | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||