Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 05336 | Date 04/06/2019 |
| Token No | SM/19-20/16252 06/01/2020 | Serial | 048 Last Visit: 02/03/2020 |
| Patient Name | Mrs. BOBBY SENAPATI | Contact No | 8017231802 |
| Address | 49 CHATRA MUKHERJEE PARA , BAIDYABATI(M) | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||