Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09440 | Date 06/04/2021 |
| Token No | SM/21-22/1729 27/05/2021 | Serial | 005 Last Visit: 20/09/2023 |
| Patient Name | Mrs. SAMINA KHATUN | Contact No | 9062072301 |
| Address | 10,T.C GOSWAMI STREET SERAMPORE | Age | 48 Years,8 Months,18 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||