Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06026 | Date 01/08/2019 |
| Token No | SM/19-20/14435 02/12/2019 | Serial | 028 Last Visit: 18/10/2025 |
| Patient Name | Mrs. UMA SINGH | Contact No | 9007156380 |
| Address | 42/A BARA BAGAN LANE SERAMPORE | Age | 71 Years,9 Months,16 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||