Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04557 | Date 04/04/2019 |
| Token No | SM/19-20/276 04/04/2019 | Serial | 065 Last Visit: 24/07/2024 |
| Patient Name | Mrs. SABIYA BEGAM | Contact No | 6289256409 |
| Address | 13 BARIN GHOSH LANE CHATRA SERAMPORE | Age | 28 Years,11 Months,1 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||