Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00794 | Date 24/01/2020 |
| Token No | SM/19-20/1843 27/01/2020 | Serial | 027 |
| Patient Name | Mrs. BASANTI MUKHERJEE | Contact No | 6297783050 |
| Address | PRAVASHNAGAR SERAMPORE 712249 | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||