Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11285 | Date 16/07/2022 |
| Token No | SM/22-23/14695 16/07/2022 | Serial | 024 Last Visit: 16/07/2022 |
| Patient Name | Mrs. SHYAMALI PAL | Contact No | |
| Address | GOBINDA PUR DIARA | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||