Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 05675 | Date 05/07/2019 |
| Token No | SM/19-20/7409 27/07/2019 | Serial | 021 Last Visit: 20/09/2022 |
| Patient Name | Miss PINKY AGARWAL | Contact No | 8420138611 |
| Address | 23 K.M SHA STREET SERAMPORE | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 38 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||