Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10743 | Date 03/03/2022 |
| Token No | SM/21-22/10495 04/03/2022 | Serial | 047 Last Visit: 02/04/2022 |
| Patient Name | Mrs. KAMALA ADHIKARY | Contact No | |
| Address | 9,NABAKRISHNA GUIN LANE | Age | 62 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||