Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04673 | Date 11/04/2019 |
| Token No | SM/19-20/788 12/04/2019 | Serial | 025 Last Visit: 20/04/2019 |
| Patient Name | Mrs. SWAPANA DUTTA | Contact No | 9339164162 |
| Address | 67A CHATRA BARUI PARA LANE SERAMPORE | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||