Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10660 | Date 11/02/2022 |
| Token No | SM/21-22/10188 23/02/2022 | Serial | 039 Last Visit: 05/04/2022 |
| Patient Name | Mrs. ARCHANA DAS | Contact No | 8926102329 |
| Address | HARIPUR PAHALAMPUR HOOGHLY | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||