Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09202 | Date 21/01/2021 |
| Token No | SM/20-21/29640 21/01/2021 | Serial | 060 Last Visit: 21/01/2021 |
| Patient Name | Mrs. PURNIMA BHATTACHARJEE | Contact No | 9163484128 |
| Address | 27,G.T.ROAD JIL BAGAN | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||