Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 10061 | Date 09/09/2021 |
| Token No | SM/21-22/4964 10/09/2021 | Serial | 020 Last Visit: 10/09/2021 |
| Patient Name | Mrs. KAKALI JANA | Contact No | 7449652728 |
| Address | KONNAGORE | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||