Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10478 | Date 30/12/2021 |
| Token No | SM/21-22/8864 11/01/2022 | Serial | 055 Last Visit: 04/09/2024 |
| Patient Name | Mrs. BABITA DHANUK | Contact No | 9874763160 |
| Address | 4/A CHANDRA MOHAN ROY LANE | Age | 30 Years,8 Months,3 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||