Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 08196 | Date 02/05/2020 |
| Token No | SM/19-20/21828 02/05/2020 | Serial | 010 Last Visit: 02/05/2020 |
| Patient Name | Miss PALAK TANTI | Contact No | 7890662613 |
| Address | 97/N/8/C PROBASHNAGAR SERAMPORE | Age | 13 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||