Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08726 | Date 10/09/2020 |
| Token No | SM/20-21/25792 18/09/2020 | Serial | 042 Last Visit: 18/05/2022 |
| Patient Name | Mrs. JHARNA PAL | Contact No | 9681735448 |
| Address | 88 (38) SATCHASI PARA CHATRA SERAMPORE | Age | 65 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||