Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08831 | Date 07/10/2020 |
| Token No | SM/20-21/26436 07/10/2020 | Serial | 039 Last Visit: 07/10/2020 |
| Patient Name | Mrs. PRATIMA BELEL | Contact No | |
| Address | CHATRA | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||