Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09630 | Date 21/05/2021 |
| Token No | SM/22-23/13303 07/06/2022 | Serial | 030 Last Visit: 10/06/2022 |
| Patient Name | Mrs. DEBARATI SINHA | Contact No | 8017074417 |
| Address | 11 DR. P. N, MUKHERJEE STREET | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 68 KG |
| Pulse Rate | / min | Height | 151.1 cm BMI: 29.783792 |
| Diagnosis | |||