Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 08956 | Date 10/11/2020 |
| Token No | SM/20-21/28649 21/12/2020 | Serial | 042 Last Visit: 17/06/2022 |
| Patient Name | Mrs. AMITA DUTTA | Contact No | 8582880212 |
| Address | 10 DULEY PARA LANE SERAMPORE | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||