Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01527 | Date 05/10/2018 |
| Token No | SM/18-19/2553 06/10/2018 | Serial | 013 Last Visit: 06/10/2018 |
| Patient Name | Mrs. APERNA MALIK | Contact No | 9163705542 |
| Address | LEHIRI PARA | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||