Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10637 | Date 08/02/2022 |
| Token No | SM/21-22/10128 22/02/2022 | Serial | 028 Last Visit: 12/03/2022 |
| Patient Name | Mrs. SHAHZADI KHATOON | Contact No | 7439352939 |
| Address | 41,K. M. BHATTACHARYA STREET | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||