Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 05601 | Date 27/06/2019 |
| Token No | SM/19-20/5518 28/06/2019 | Serial | 022 Last Visit: 06/08/2019 |
| Patient Name | Mrs. SWATI KUMARI | Contact No | 9038103826 |
| Address | 1/H RAILAND ROAD, SERAMPORE, HOOGHLY, 712202 | Age | 19 Y Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||