Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10521 | Date 07/01/2022 |
| Token No | SM/21-22/8717 08/01/2022 | Serial | 048 Last Visit: 10/01/2022 |
| Patient Name | Mrs. RITA RAJBHAR | Contact No | 8274890734 |
| Address | 31,BAZAR BYE LANE SERAMPORE | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||