Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07332 | Date 13/01/2020 |
| Token No | SM/19-20/16705 14/01/2020 | Serial | 034 Last Visit: 17/01/2020 |
| Patient Name | Mrs. KASHIMAN BIBI | Contact No | 9875427846 |
| Address | 20, KANI DEWAN TALA LANE, SERAMPORE | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||