Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03894 | Date 27/02/2019 |
| Token No | SM/18-19/9582 28/02/2019 | Serial | 004 Last Visit: 17/07/2020 |
| Patient Name | Mrs. RAJIA BIBI | Contact No | 9903642175 |
| Address | 27/C CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||