Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10876 | Date 05/04/2022 |
| Token No | SM/22-23/11477 06/04/2022 | Serial | 028 Last Visit: 06/04/2022 |
| Patient Name | Mrs. BANDANA CHATTERJEE | Contact No | 9748731828 |
| Address | 54/H,S.C. CHATTERJEE SARANI | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||