Ticket for Outdoor Patient
| Ward No. 20 | U-PHC No. | Registration No. 10665 | Date 11/02/2022 |
| Token No | SM/21-22/9914 15/02/2022 | Serial | 045 Last Visit: 04/03/2022 |
| Patient Name | Mrs. CHUMKI BHATTACHARYYA | Contact No | 6289396611 |
| Address | 13 SATYA CHARAN SASTRY STREET RISHRA | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||