Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06761 | Date 26/10/2019 |
| Token No | SM/19-20/12432 26/10/2019 | Serial | 001 Last Visit: 26/10/2019 |
| Patient Name | Mrs. TANUSHREE NAG | Contact No | 9836030719 |
| Address | 14A S.C.CHATTERJEE SARANI SERAMPORE | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||