Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00205 | Date 07/08/2018 |
| Token No | SM/19-20/18406 19/02/2020 | Serial | 067 Last Visit: 26/09/2022 |
| Patient Name | Mrs. NAMITA MONDAL | Contact No | 8583907269 |
| Address | 32 CHAKRABORTY LANE | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||