Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05059 | Date 10/05/2019 |
| Token No | SM/19-20/2520 11/05/2019 | Serial | 008 Last Visit: 14/05/2019 |
| Patient Name | Mrs. ALPANA MUKHERJEE | Contact No | 8017201139 |
| Address | 16 P.N MUKHERJEE STREET SERAMPORE | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||