Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09907 | Date 04/08/2021 |
| Token No | SM/21-22/4376 24/08/2021 | Serial | 065 Last Visit: 25/11/2021 |
| Patient Name | Mrs. DOLI BHATTACHARJEE | Contact No | 9038710519 |
| Address | CHATRA SERAMPORE | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||