Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10658 | Date 10/02/2022 |
| Token No | SM/21-22/9770 10/02/2022 | Serial | 031 Last Visit: 19/11/2024 |
| Patient Name | Mrs. PROVA RANI SIL | Contact No | |
| Address | PROVASNAGAR CHAKLA PARA | Age | 66 Years,10 Months,18 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||