Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11161 | Date 20/06/2022 |
| Token No | SM/22-23/13774 20/06/2022 | Serial | 056 Last Visit: 09/04/2024 |
| Patient Name | Mrs. SHIPIKA NAYEK | Contact No | |
| Address | 11/G/A G.T.ROAD MANIK GHOSHER BAGAN | Age | 29 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 | |||