Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09644 | Date 24/05/2021 |
| Token No | SM/21-22/1674 24/05/2021 | Serial | 052 Last Visit: 24/05/2021 |
| Patient Name | Mrs. JUHI PASWAN | Contact No | |
| Address | DIPRUCH GARDEN LANE SERAMPORE | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||