Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 05669 | Date 05/07/2019 |
| Token No | SM/21-22/6766 12/11/2021 | Serial | 040 Last Visit: 31/05/2022 |
| Patient Name | Mrs. SUMITA DAS | Contact No | 9239350625 |
| Address | 21 MUKHERJEE PARA LANE SERAMPORE | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||