Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09350 | Date 19/03/2021 |
| Token No | SM/20-21/30914 19/03/2021 | Serial | 023 Last Visit: 19/03/2021 |
| Patient Name | Mrs. ANAMIKA CHAKRABORTY | Contact No | |
| Address | CHATRA MANNA PARA SERAMPORE | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||