Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05628 | Date 29/06/2019 |
| Token No | SM/19-20/9774 04/09/2019 | Serial | 005 Last Visit: 16/05/2024 |
| Patient Name | Mrs. ASLAMA BIBI | Contact No | |
| Address | 21 MUSALMAN PARA BYE LANE SERAMPORE | Age | 35 Years,4 Months,13 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||