Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10533 | Date 10/01/2022 |
| Token No | SM/21-22/9040 17/01/2022 | Serial | 056 Last Visit: 17/01/2022 |
| Patient Name | Mrs. SANDHYA MARIK | Contact No | 8910445472 |
| Address | 2.GHOSWAMI STREET SERAMPORE | Age | 28 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||