Ticket for Outdoor Patient
| Ward No. 5 | U-PHC No. | Registration No. 09264 | Date 02/03/2021 |
| Token No | SM/20-21/30299 03/03/2021 | Serial | 008 Last Visit: 04/03/2021 |
| Patient Name | Mrs. SONALI SANTRA | Contact No | 7980270318 |
| Address | 56 N T ROAD CHHATUGANJ BAIDYABATI M | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||