Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09406 | Date 30/03/2021 |
| Token No | SM/21-22/217 06/04/2021 | Serial | 061 Last Visit: 07/04/2021 |
| Patient Name | Mrs. RUBINA KHATUN | Contact No | 8276065544 |
| Address | 57,N.N STREET,SERAMPORE | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||