Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03952 | Date 02/03/2019 |
| Token No | SM/18-19/9714 02/03/2019 | Serial | 033 Last Visit: 02/03/2019 |
| Patient Name | Miss SHREYA LAHA | Contact No | 8583848553 |
| Address | 26,CHATRA BARUI PARA LANE | Age | 14 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 34.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||