Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06046 | Date 05/08/2019 |
| Token No | SM/19-20/8067 07/08/2019 | Serial | 010 Last Visit: 07/08/2019 |
| Patient Name | Mrs. DEBI DAS DUTTA | Contact No | 8420312039 |
| Address | 31 SUNNY PARA LANE SERAMPORE | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||