Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09717 | Date 14/06/2021 |
| Token No | SM/21-22/2296 15/06/2021 | Serial | 032 Last Visit: 23/09/2021 |
| Patient Name | Mrs. RAHISA BANO | Contact No | 9007754181 |
| Address | 23,PARSI LANE SERAMPORE | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||