Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10016 | Date 01/09/2021 |
| Token No | SM/21-22/4669 02/09/2021 | Serial | 031 Last Visit: 15/11/2021 |
| Patient Name | Mrs. PINKI BEGUM | Contact No | 6291318450 |
| Address | 6/B K.D LANE SERAMPORE | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||