Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 02288 | Date 03/12/2018 |
| Token No | SM/18-19/4543 03/12/2018 | Serial | 009 Last Visit: 03/12/2018 |
| Patient Name | Mr. SAJAL DAS | Contact No | 9903302371 |
| Address | PROVASNAGAR | Age | 49 Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||