Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01032 | Date 20/02/2020 |
| Token No | SM/19-20/2508 24/02/2020 | Serial | 013 |
| Patient Name | Mrs. NILIMA MONDAL | Contact No | 9163688818 |
| Address | SIMLA GHOSHPARA SERAMPORE M 712203 | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||