Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01769 | Date 30/10/2018 |
| Token No | SM/19-20/20261 25/03/2020 | Serial | 017 Last Visit: 30/03/2020 |
| Patient Name | Mrs. SHIBANI NAG | Contact No | 9088430965 |
| Address | 23, RAY GHAT LANE SERAMPORE | Age | 76 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||