Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07158 | Date 16/12/2019 |
| Token No | SM/19-20/15660 20/12/2019 | Serial | 029 Last Visit: 23/12/2019 |
| Patient Name | Mrs. SUPRIYA PATRA | Contact No | 9836064038 |
| Address | PAHALAMPUR , HOOGHLY | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||