Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10789 | Date 12/03/2022 |
| Token No | SM/22-23/11317 02/04/2022 | Serial | 011 Last Visit: 02/04/2022 |
| Patient Name | Mrs. CHITALI GHOSH | Contact No | 7890738026 |
| Address | TELIPARA BAGER BAGAN CHATRA BAIDYBATI (M) SERAMPORE | Age | 25 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||