Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00310 | Date 10/08/2018 |
| Token No | SM/19-20/12043 18/10/2019 | Serial | 063 Last Visit: 23/10/2019 |
| Patient Name | Mr. RASIDA BEGAM | Contact No | 9123894631 |
| Address | 4 ROY GHAT LANE, SERAMPORE | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||