Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09881 | Date 27/07/2021 |
| Token No | SM/21-22/3596 28/07/2021 | Serial | 030 Last Visit: 28/07/2021 |
| Patient Name | Mrs. FATIMA BIBI | Contact No | 8820558267 |
| Address | 8,K.M BHATTACHARJEE STREET SERAMPORE | Age | 19 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||