Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06311 | Date 02/09/2019 |
| Token No | SM/19-20/9767 03/09/2019 | Serial | 078 Last Visit: 03/09/2019 |
| Patient Name | Mrs. SALMA BIBI | Contact No | 9674808170 |
| Address | 12 MUSALMAN PARA BYE LANE CHATRA , SERAMPORE | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||