Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10343 | Date 27/11/2021 |
| Token No | SM/21-22/7305 29/11/2021 | Serial | 031 Last Visit: 10/01/2022 |
| Patient Name | Mrs. SAGUFTA ZABI | Contact No | 8981424216 |
| Address | 11/A/1 , PARSHI LANE SERAMPORE | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||