Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 01148 | Date 14/09/2018 |
| Token No | SM/22-23/14379 07/07/2022 | Serial | 001 Last Visit: 21/07/2022 |
| Patient Name | Mrs. JAHANARA BIBI | Contact No | 8017676928 |
| Address | BAIDYABATI(M) SHEORAPHULI | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||