Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10085 | Date 15/09/2021 |
| Token No | SM/21-22/5160 16/09/2021 | Serial | 032 Last Visit: 24/01/2023 |
| Patient Name | Mrs. ANJALI CHOWDHURY | Contact No | 8013198624 |
| Address | 54/F. S.C. CHATTERJEE SARANI, | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||