Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 00193 | Date 17/09/2019 |
| Token No | SM/19-20/1407 04/01/2020 | Serial | 029 |
| Patient Name | Mrs. MINU DUTTA GUPTA | Contact No | 7450073760 |
| Address | TARAPUKUR QUARTER,SERAMPORE 712203 | Age | 70 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||