Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03085 | Date 19/01/2019 |
| Token No | SM/18-19/7089 19/01/2019 | Serial | 022 Last Visit: 19/01/2019 |
| Patient Name | Mrs. DIPA SAHA | Contact No | |
| Address | Age | 53YRS Female | |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||