Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 08197 | Date 02/05/2020 |
| Token No | SM/19-20/21842 02/05/2020 | Serial | 024 Last Visit: 02/05/2020 |
| Patient Name | Mrs. LAXMI DAS | Contact No | 9062377154 |
| Address | SOCIETY MATH PROBASNAGAR SERAMPORE | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||