Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 10712 | Date 23/02/2022 |
| Token No | SM/21-22/10446 03/03/2022 | Serial | 045 Last Visit: 03/03/2022 |
| Patient Name | Mrs. RACHNA SINGH SINGHA | Contact No | 8240263077 |
| Address | 3/12 RAILAND CIRCULAR ROAD MAHESH SERAMPORE | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||