Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09295 | Date 08/03/2021 |
| Token No | SM/20-21/30584 10/03/2021 | Serial | 022 Last Visit: 10/03/2021 |
| Patient Name | Mrs. ALO MUKHERJEE | Contact No | 8420818904 |
| Address | 4 CHATRA BAZER ROAD, | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||