Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 09799 | Date 06/07/2021 |
| Token No | SM/21-22/5245 20/09/2021 | Serial | 015 Last Visit: 20/09/2021 |
| Patient Name | Mrs. RAISA KHATOON | Contact No | 8240799866 |
| Address | 12/1 PARSI LANE SERAMPORE | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||