Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10724 | Date 25/02/2022 |
| Token No | SM/21-22/10348 28/02/2022 | Serial | 054 Last Visit: 03/03/2022 |
| Patient Name | Mrs. RASMANI SENAPATI | Contact No | 9007746931 |
| Address | 157,MUKHERJEEPARA CHATRA SERAMPORE | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||