Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07770 | Date 12/03/2020 |
| Token No | SM/21-22/5000 11/09/2021 | Serial | 029 Last Visit: 11/09/2021 |
| Patient Name | Mrs. ADITI DAS MANNA | Contact No | 8820195660 |
| Address | GOPALPUR, HOOGHLY | Age | 27 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||