Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09487 | Date 19/04/2021 |
| Token No | SM/21-22/638 20/04/2021 | Serial | 047 Last Visit: 22/04/2021 |
| Patient Name | Mrs. PRATIMA DAS | Contact No | 7449314479 |
| Address | SINGUR | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||