Ticket for Outdoor Patient
| Ward No. 22 | U-PHC No. | Registration No. 06799 | Date 06/11/2019 |
| Token No | SM/19-20/13306 15/11/2019 | Serial | 039 Last Visit: 19/11/2019 |
| Patient Name | Mrs. BHARATI KAUR | Contact No | 9836757073 |
| Address | 15/25 KAZIPARA , BAIDYABATI(M) | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||