Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 09455 | Date 09/04/2021 |
| Token No | SM/21-22/343 09/04/2021 | Serial | 012 Last Visit: 09/04/2021 |
| Patient Name | Mrs. LAKSHMI TARAFDAR | Contact No | 8902676497 |
| Address | RAMKRISHNA ROAD SERAMPORE | Age | 61 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||