Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 10881 | Date 05/04/2022 |
| Token No | SM/22-23/11479 06/04/2022 | Serial | 030 Last Visit: 08/09/2022 |
| Patient Name | Mrs. REHENA PARVIN | Contact No | 7439639734 |
| Address | 50/J KAZI PARA BAIDYABATI (M) HOOGHLY | Age | 44 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||