Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05561 | Date 25/06/2019 |
| Token No | SM/19-20/5514 28/06/2019 | Serial | 018 Last Visit: 29/06/2019 |
| Patient Name | Mrs. TANUSHREE MAJHI | Contact No | 9062138898 |
| Address | 4065/3 CHATRA SHITLATALA ROAD SERAMPORE | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 74 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||