Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 00686 | Date 08/01/2020 |
| Token No | SM/19-20/2803 04/03/2020 | Serial | 034 |
| Patient Name | Mrs. SADHANA GUHA | Contact No | 7596955737 |
| Address | 43/46/H PRABASHNAGAR SERAMPORE 712249 | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||