Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11078 | Date 31/05/2022 |
| Token No | SM/22-23/13135 01/06/2022 | Serial | 041 Last Visit: 13/06/2022 |
| Patient Name | Mrs. SANDHYA PAUL | Contact No | 7044340599 |
| Address | 129, SITALA TALA ROAD TENTULTALA BAZAR DEWAN BAGAN SERAMPORE | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | 148.7 cm BMI: 30.300714 |
| Diagnosis | |||