Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09343 | Date 19/03/2021 |
| Token No | SM/20-21/31012 20/03/2021 | Serial | 041 Last Visit: 22/04/2021 |
| Patient Name | Mrs. ROZINA KHATUN | Contact No | 9091341299 |
| Address | 20 NO MUSALMAN PARA ROAD SERAMPORE | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||