Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05314 | Date 01/06/2019 |
| Token No | SM/19-20/13845 23/11/2019 | Serial | 040 Last Visit: 29/09/2020 |
| Patient Name | Miss BHASWATI LAHIRI | Contact No | 9748649371 |
| Address | 5 P.N MUKHERJEE STREET SERAMPORE | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||