Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 04033 | Date 06/03/2019 |
| Token No | SM/18-19/9966 06/03/2019 | Serial | 056 Last Visit: 06/03/2019 |
| Patient Name | Miss RITIKA GHUGHU | Contact No | 9062035737 |
| Address | PIYARA PUR PASCHIM PARA SEORAPHULI | Age | 13 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 48 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||