Ticket for Outdoor Patient
| Ward No. 27 | U-PHC No. | Registration No. 00721 | Date 10/01/2020 |
| Token No | SM/19-20/1761 22/01/2020 | Serial | 041 |
| Patient Name | Mrs. NAMITA DAS | Contact No | 9748995263 |
| Address | 24 NEW MAHESH SERAMPORE 712203 | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||