Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10981 | Date 06/05/2022 |
| Token No | SM/22-23/12261 06/05/2022 | Serial | 038 Last Visit: 06/05/2022 |
| Patient Name | Mrs. RENU BANIK | Contact No | |
| Address | TARAPUKUR QUATER | Age | 71 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||