Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 10624 | Date 04/02/2022 |
| Token No | SM/21-22/9913 15/02/2022 | Serial | 044 Last Visit: 15/02/2022 |
| Patient Name | Mrs. TUMPA PANDEY | Contact No | 8820807305 |
| Address | 3NO T.P. BHATTACHARYA STREET SERAMPORE | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||