Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10722 | Date 25/02/2022 |
| Token No | SM/22-23/11312 02/04/2022 | Serial | 006 Last Visit: 02/04/2022 |
| Patient Name | Mrs. ANJALI DEBNATH | Contact No | 8981872198 |
| Address | MANIK GHOSHER BAGAN CHATRA SERAMPORE | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||