Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07929 | Date 25/03/2020 |
| Token No | SM/19-20/20314 26/03/2020 | Serial | 026 Last Visit: 22/04/2020 |
| Patient Name | Mrs. SUKLA DEY | Contact No | 9339527732 |
| Address | 32/A BORO BAGAN LANE, | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||