Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09511 | Date 22/04/2021 |
| Token No | SM/21-22/11182 29/03/2022 | Serial | 041 Last Visit: 05/04/2023 |
| Patient Name | Mrs. SUMITRA DAS | Contact No | 8777565352 |
| Address | 3/C GHOSHPARA 1ST LANE CHATRA,SERAMPORE | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||