Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05308 | Date 31/05/2019 |
| Token No | SM/19-20/3825 01/06/2019 | Serial | 026 Last Visit: 14/06/2019 |
| Patient Name | Mrs. BIPARNA BAG | Contact No | 9007996792 |
| Address | CHAKPAHALAMPUR PAHALAMPUR HOOGHLY | Age | 68 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||