Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09508 | Date 22/04/2021 |
| Token No | SM/21-22/784 23/04/2021 | Serial | 037 Last Visit: 23/04/2021 |
| Patient Name | Mrs. RUMANA AHMED | Contact No | 9836915990 |
| Address | 10.DR.G.C GHOSWAMI STREET,SERAMPORE | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||