Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10783 | Date 11/03/2022 |
| Token No | SM/21-22/10741 12/03/2022 | Serial | 042 Last Visit: 14/03/2022 |
| Patient Name | Mrs. KARUNA KOLEY | Contact No | 9163881993 |
| Address | PANCHGHARA BAZAR | Age | 75 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||