Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03040 | Date 17/01/2019 |
| Token No | SM/19-20/12185 22/10/2019 | Serial | 008 Last Visit: 22/03/2022 |
| Patient Name | Mrs. SAIDA BIBI | Contact No | 7980261845 |
| Address | 21 MUSALMAN PARA SERAMPORE | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||