Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10784 | Date 12/03/2022 |
| Token No | SM/21-22/11109 26/03/2022 | Serial | 020 Last Visit: 26/03/2022 |
| Patient Name | Mrs. FAREDA KHATOON | Contact No | 6290954115 |
| Address | 57 N.N. RAY STREET SERAMPORE | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||