Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 00928 | Date 05/09/2018 |
| Token No | SM/18-19/1579 13/09/2018 | Serial | 002 Last Visit: 13/09/2018 |
| Patient Name | Mrs. MALATI DHUL | Contact No | 9836768656 |
| Address | 37 SANI PARA SERAMPORE | Age | 50.0 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||