Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 07060 | Date 03/12/2019 |
| Token No | SM/19-20/14624 04/12/2019 | Serial | 010 Last Visit: 09/12/2019 |
| Patient Name | Mrs. DEBJANI PARAMANICK | Contact No | 8420328609 |
| Address | 53/A DUTTA PARA LANE CHATRA SERAMPORE | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||