Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11194 | Date 27/06/2022 |
| Token No | SM/22-23/14129 28/06/2022 | Serial | 051 Last Visit: 28/06/2022 |
| Patient Name | Miss NILIMA DAS | Contact No | 9163774330 |
| Address | 51/18, SATCHASI PARA CHATRA SERAMPORE | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||