Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 10922 | Date 13/04/2022 |
| Token No | SM/22-23/11770 18/04/2022 | Serial | 058 Last Visit: 13/07/2023 |
| Patient Name | Mrs. APARNA PATRA | Contact No | 8336014683 |
| Address | 42 KUMAR JALA ROAD SERAMPORE MALLICKPARA | Age | 47 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||