Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04459 | Date 29/03/2019 |
| Token No | SM/19-20/557 09/04/2019 | Serial | 011 Last Visit: 03/08/2023 |
| Patient Name | Mrs. KANIJA BIBI | Contact No | 9088739243 |
| Address | 5/A/1 MUSALMAN PARA BYE LANE CHATRA SERAMPORE | Age | 73 Years,7 Months,0 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||