Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 09400 | Date 26/03/2021 |
| Token No | SM/21-22/420 12/04/2021 | Serial | 055 Last Visit: 01/09/2021 |
| Patient Name | Mrs. JAHANARA KHATUN | Contact No | 8910741545 |
| Address | 36,MUSHALMAN PARA ROAD,SERAMPORE | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||