Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 00008 | Date 01/08/2018 |
| Token No | SM/22-23/12674 19/05/2022 | Serial | 058 Last Visit: 10/03/2023 |
| Patient Name | Miss RITUJA DAS | Contact No | 9874530525 |
| Address | 57/A PATUA PARA LANE | Age | 17.0 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||