Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10825 | Date 22/03/2022 |
| Token No | SM/21-22/11136 28/03/2022 | Serial | 020 Last Visit: 09/09/2022 |
| Patient Name | Mrs. RATNA BAIDYA | Contact No | 9681629581 |
| Address | 6 NO SARKAR BAGAN LANE SERAMPORE HOOGHLY | Age | 46 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||