Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10657 | Date 10/02/2022 |
| Token No | SM/21-22/11062 24/03/2022 | Serial | 023 Last Visit: 25/03/2022 |
| Patient Name | Mrs. SIMA BAIDYA | Contact No | 7384019908 |
| Address | BELUMILKI SERAMPORE | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||