Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 00246 | Date 08/08/2018 |
| Token No | SM/21-22/3199 15/07/2021 | Serial | 029 Last Visit: 27/07/2021 |
| Patient Name | Mrs. KANIKA SINGH | Contact No | 9830772510 |
| Address | 61, MUKHERJEE PARA LANE, SERAMPORE | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||