Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08623 | Date 04/08/2020 |
| Token No | SM/19-20/24745 06/08/2020 | Serial | 020 Last Visit: 06/08/2020 |
| Patient Name | Mrs. JYOTSHNA ROY | Contact No | 9748346448 |
| Address | 51/65 BA HATTACHARJEE GARDEN BYE LANE | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||