Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10282 | Date 16/11/2021 |
| Token No | SM/21-22/6867 16/11/2021 | Serial | 035 Last Visit: 16/11/2021 |
| Patient Name | Mrs. PIYALI BANERJEE | Contact No | 6291121541 |
| Address | 74 A.P.GHOSH ROAD | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||