Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 06595 | Date 05/10/2019 |
| Token No | SM/20-21/28088 04/12/2020 | Serial | 039 Last Visit: 04/12/2020 |
| Patient Name | Mrs. MUSKAN KHATOON | Contact No | |
| Address | SERAMPORE | Age | 18 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||