Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11093 | Date 04/06/2022 |
| Token No | SM/22-23/13230 04/06/2022 | Serial | 022 Last Visit: 09/04/2024 |
| Patient Name | Mrs. ROSHAN BIBI | Contact No | |
| Address | 26, MIYAJAN DARJEE LANE MALLICKPARA SERAMPORE | Age | 45 Years,3 Months,7 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||