Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 09973 | Date 23/08/2021 |
| Token No | SM/21-22/4346 24/08/2021 | Serial | 035 Last Visit: 24/01/2023 |
| Patient Name | Mrs. SUKLA BAGCHI | Contact No | 9874202852 |
| Address | 47/1 ,MUKHERJEE PARA SERAMPORE | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||