Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 08274 | Date 19/05/2020 |
| Token No | SM/19-20/22713 03/06/2020 | Serial | 018 Last Visit: 06/07/2020 |
| Patient Name | Mrs. SAROJ DEBI | Contact No | 8777574960 |
| Address | 29 K.M BHATTCHARJEE STREET SERAMPORE | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||