Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01897 | Date 08/04/2019 |
| Token No | SM/18-19/3139 08/04/2019 | Serial | 020 |
| Patient Name | Mrs. SANJU BISWAL | Contact No | |
| Address | SERAMPORE | Age | 28 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||