Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09837 | Date 13/07/2021 |
| Token No | SM/21-22/3126 13/07/2021 | Serial | 033 Last Visit: 06/05/2024 |
| Patient Name | Mrs. ANITA GUPTA | Contact No | |
| Address | SUKANTALA PALLI SERAMPORE | Age | 35 Years,4 Months,3 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||