Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06733 | Date 22/10/2019 |
| Token No | SM/21-22/8658 07/01/2022 | Serial | 053 Last Visit: 07/01/2022 |
| Patient Name | Mrs. NANDITA PAUL | Contact No | 9681107803 |
| Address | 146 G.T ROAD BOWBAZAR , BAIDYABATI(M) | Age | 37 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||