Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05522 | Date 22/06/2019 |
| Token No | SM/21-22/3318 19/07/2021 | Serial | 036 Last Visit: 23/07/2021 |
| Patient Name | Mrs. MANOWARA BIBI | Contact No | 9477030569 |
| Address | 7 MUSALMAN PARA LANE SERAMPORE | Age | 59 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||