Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03934 | Date 01/03/2019 |
| Token No | SM/18-19/9667 01/03/2019 | Serial | 042 Last Visit: 05/12/2019 |
| Patient Name | Miss RIMA KAYAL | Contact No | 9748066487 |
| Address | 29A CHATRA PATTI PARA SERAMPORE | Age | 13 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 58 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||