Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09368 | Date 19/03/2021 |
| Token No | SM/20-21/31016 20/03/2021 | Serial | 045 Last Visit: 26/03/2021 |
| Patient Name | Mrs. KAJAL SHAW | Contact No | 9875446452 |
| Address | 42T.P.BHATTACHARJEE STREET | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||