Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10394 | Date 08/12/2021 |
| Token No | SM/21-22/7650 10/12/2021 | Serial | 013 Last Visit: 11/12/2021 |
| Patient Name | Mrs. SULEKHA KUNDU | Contact No | 9830756383 |
| Address | 61 A, DHARMATALA LANE CHATRA SERAMPORE | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||