Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10464 | Date 28/12/2021 |
| Token No | SM/21-22/8266 29/12/2021 | Serial | 049 Last Visit: 10/05/2022 |
| Patient Name | Mrs. PUJA ROY | Contact No | 9875692064 |
| Address | 27 BAZAR BEY LANE | Age | 22 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||