Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09753 | Date 25/06/2021 |
| Token No | SM/21-22/2601 26/06/2021 | Serial | 016 Last Visit: 04/08/2023 |
| Patient Name | Mrs. SABINA BIBI | Contact No | 7044492792 |
| Address | BORO BELUR | Age | 26 Years,7 Months,1 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||