Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09622 | Date 19/05/2021 |
| Token No | SM/21-22/9317 25/01/2022 | Serial | 022 Last Visit: 23/11/2023 |
| Patient Name | Mrs. RITA BAG | Contact No | 9230365975 |
| Address | 110,TELIPARA BAGER BAGAN SERAMPORE | Age | 59 Years,10 Months,21 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||