Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03947 | Date 02/03/2019 |
| Token No | SM/18-19/9706 02/03/2019 | Serial | 025 Last Visit: 02/03/2019 |
| Patient Name | Miss KOEL KARMAKAR | Contact No | 7278025421 |
| Address | 25,CHAKRABORTY LANE | Age | 14 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||