Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 05835 | Date 19/07/2019 |
| Token No | SM/19-20/6828 19/07/2019 | Serial | 018 Last Visit: 19/07/2019 |
| Patient Name | Mrs. ANJANA HOSSAIN | Contact No | 9903712458 |
| Address | 10, G.C.GOSWAMI STREET | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||