Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 06219 | Date 26/08/2019 |
| Token No | SM/19-20/9110 26/08/2019 | Serial | 026 Last Visit: 26/08/2019 |
| Patient Name | Mrs. SOMA MUKHERJEE | Contact No | 9062376517 |
| Address | TARAPUKUR | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||