Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 01984 | Date 15/11/2018 |
| Token No | SM/19-20/14466 02/12/2019 | Serial | 059 Last Visit: 27/04/2024 |
| Patient Name | Mrs. SAKINA KHATUN | Contact No | |
| Address | SERAMPORE | Age | 20 Years,3 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||