Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10808 | Date 15/03/2022 |
| Token No | SM/21-22/10810 15/03/2022 | Serial | 030 Last Visit: 29/05/2024 |
| Patient Name | Mrs. SABITA GHOSH | Contact No | |
| Address | CHATRA MANNA PARA SERAMPORE | Age | 21 Years,4 Months,27 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||