Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02420 | Date 08/12/2018 |
| Token No | SM/19-20/8435 16/08/2019 | Serial | 018 Last Visit: 16/08/2019 |
| Patient Name | Mrs. SUJATA DUTTA | Contact No | 9830595770 |
| Address | 55, CHATRA BARUI PARA | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 73.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||