Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06251 | Date 28/08/2019 |
| Token No | SM/19-20/9360 29/08/2019 | Serial | 001 Last Visit: 30/08/2019 |
| Patient Name | Miss BIDHISHA NASKAR | Contact No | 9748309236 |
| Address | HOWRAH DOMJUR | Age | 5 .9 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||