Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 09062 | Date 17/12/2020 |
| Token No | SM/20-21/28521 17/12/2020 | Serial | 027 Last Visit: 24/11/2022 |
| Patient Name | Mrs. APARNA SENGUPTA | Contact No | 8961273766 |
| Address | 54/A G T ROAD (WEST) , RISHRA | Age | 63 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||