Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07662 | Date 28/02/2020 |
| Token No | SM/19-20/18955 29/02/2020 | Serial | 056 Last Visit: 06/03/2020 |
| Patient Name | Mrs. KHAYRUNNESA KHATUN | Contact No | 9831488770 |
| Address | RAMCHANDRAPUR , PAHALANPUR SINGUR | Age | 42 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||