Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 08102 | Date 17/04/2020 |
| Token No | SM/19-20/21300 18/04/2020 | Serial | 009 Last Visit: 24/04/2024 |
| Patient Name | Mrs. GITA MANDAL | Contact No | 7551867383 |
| Address | 18 N N ROY STREET | Age | 73 Years,5 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||