Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00814 | Date 27/01/2020 |
| Token No | SM/19-20/1884 28/01/2020 | Serial | 039 |
| Patient Name | Mrs. TANU GHOSH | Contact No | 7044346674 |
| Address | CHAKLAPARA PRABASHNAGAR 712249 | Age | 30 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||