Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01430 | Date 29/09/2018 |
| Token No | SM/19-20/24785 06/08/2020 | Serial | 060 Last Visit: 06/08/2020 |
| Patient Name | Mrs. BINDABALA KARAR | Contact No | 9332974499 |
| Address | 3, BUROBIBI LANE, SERAMPORE | Age | 75 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||