Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09198 | Date 20/01/2021 |
| Token No | SM/20-21/29579 20/01/2021 | Serial | 027 Last Visit: 05/02/2021 |
| Patient Name | Mrs. RITA DAS | Contact No | 9836469120 |
| Address | 26B A.P.GHOSH ROAD CHATRA SERAMPORE | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||