Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 09033 | Date 07/12/2020 |
| Token No | SM/21-22/9909 15/02/2022 | Serial | 040 Last Visit: 12/07/2022 |
| Patient Name | Mrs. ARUNA PATRA | Contact No | 8910935843 |
| Address | 29/4 BARO BAGAN LANE SERAMPORE MALLICKPARA | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||