Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 05904 | Date 23/07/2019 |
| Token No | SM/19-20/7249 25/07/2019 | Serial | 002 Last Visit: 21/12/2019 |
| Patient Name | Mrs. MUNI BIBI | Contact No | 7439251429 |
| Address | 6 TC GOSWAMI STREET SERAMPORE | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||