Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06448 | Date 17/09/2019 |
| Token No | SM/19-20/10617 18/09/2019 | Serial | 038 Last Visit: 18/09/2019 |
| Patient Name | Mrs. ANIMA CHAKRABORTY | Contact No | 8334073396 |
| Address | 38 RAMKRISHNA BYE LANE ,BAIDYBATI(M) | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||