Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09843 | Date 15/07/2021 |
| Token No | SM/21-22/3268 17/07/2021 | Serial | 020 Last Visit: 27/07/2021 |
| Patient Name | Mrs. ANJU RANI DUTTA | Contact No | 8697087346 |
| Address | 144/A SHITALATALA ROAD,BAIDYABATI(M) | Age | 43 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||