Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06408 | Date 14/09/2019 |
| Token No | SM/19-20/10457 16/09/2019 | Serial | 058 Last Visit: 16/09/2019 |
| Patient Name | Mrs. NAIMA BIBI | Contact No | 6290599697 |
| Address | 45 N.N RAY STREET SERAMPORE | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||