Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10588 | Date 19/01/2022 |
| Token No | SM/21-22/9184 20/01/2022 | Serial | 043 Last Visit: 01/02/2022 |
| Patient Name | Mrs. PRATIMA PATHAK | Contact No | 9088071918 |
| Address | MALLICKPARA | Age | 70 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||