Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02857 | Date 07/01/2019 |
| Token No | SM/19-20/1434 23/04/2019 | Serial | 015 Last Visit: 27/11/2020 |
| Patient Name | Mrs. ANJALI GHOSH | Contact No | 7044744364 |
| Address | 9, A. DUTTA SARANI CHATRA SERAMPORE HOOGHLY | Age | 75 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||