Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10834 | Date 23/03/2022 |
| Token No | SM/21-22/11039 23/03/2022 | Serial | 045 Last Visit: 13/06/2025 |
| Patient Name | Mrs. AYESHA BIBI | Contact No | |
| Address | SERAMPORE | Age | 25 Years,5 Months,11 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||