Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 07551 | Date 15/02/2020 |
| Token No | SM/21-22/10644 09/03/2022 | Serial | 028 Last Visit: 09/03/2022 |
| Patient Name | Miss SWARNALI PRAMANIK | Contact No | 8334884717 |
| Address | 41 (29) NABINCHAKRABORTY LANE , BAIDYABTI(M) | Age | 29 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||