Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09792 | Date 05/07/2021 |
| Token No | SM/21-22/2867 05/07/2021 | Serial | 051 Last Visit: 24/04/2024 |
| Patient Name | Mrs. BINA SHAW | Contact No | |
| Address | serampore | Age | 27 Years,3 Months,21 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||