Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05274 | Date 28/05/2019 |
| Token No | SM/19-20/3634 29/05/2019 | Serial | 001 Last Visit: 03/06/2019 |
| Patient Name | Mr. DEBASIS BANERJEE | Contact No | 9732742325 |
| Address | 21 DR, P.N MUKHERJEE STREET SERAMPORE | Age | 48 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 96 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||