Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05708 | Date 10/07/2019 |
| Token No | SM/19-20/15761 23/12/2019 | Serial | 011 Last Visit: 27/01/2020 |
| Patient Name | Mrs. BAKUL MUKHERJEE | Contact No | 8013294619 |
| Address | 124/116 RAMKRISHNA BEY LANE,BAIDYABATI(M) | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||