Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06295 | Date 31/08/2019 |
| Token No | SM/19-20/9609 02/09/2019 | Serial | 004 Last Visit: 03/09/2019 |
| Patient Name | Miss SANGITA BISWAS | Contact No | 8017821381 |
| Address | 90 N.S AVENUE SERAMPORE | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||