Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09381 | Date 22/03/2021 |
| Token No | SM/20-21/31110 23/03/2021 | Serial | 047 Last Visit: 23/03/2021 |
| Patient Name | Mrs. MAMITA DAS | Contact No | 988364897 |
| Address | MALAPARA GONDAL PARA CHANDANNAGORE | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||