Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 09720 | Date 14/06/2021 |
| Token No | SM/21-22/2330 17/06/2021 | Serial | 026 Last Visit: 13/07/2023 |
| Patient Name | Mrs. LATA MAL | Contact No | 9007863738 |
| Address | 25 LENIN SARANI SERAMPORE | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||