Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09004 | Date 27/11/2020 |
| Token No | SM/20-21/28015 02/12/2020 | Serial | 030 Last Visit: 12/04/2024 |
| Patient Name | Mrs. MITA MALIK | Contact No | |
| Address | SERAMPORE | Age | 25 Years,3 Months,10 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||