Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09401 | Date 26/03/2021 |
| Token No | SM/20-21/31272 27/03/2021 | Serial | 016 Last Visit: 30/03/2021 |
| Patient Name | Mrs. NURJAHAN BEGAM | Contact No | 9051683013 |
| Address | 56,N.N.ROY STREET SERAMPORE | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||