Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 03976 | Date 02/03/2019 |
| Token No | SM/19-20/24744 06/08/2020 | Serial | 019 Last Visit: 16/04/2021 |
| Patient Name | Mrs. RESHMA KAHTUN | Contact No | 8777759778 |
| Address | 10 NO MUSALMAN PARA LANE, SERANMPORE | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||