Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11232 | Date 06/07/2022 |
| Token No | SM/22-23/14737 18/07/2022 | Serial | 028 Last Visit: 29/07/2022 |
| Patient Name | Mrs. AJMIRA BIBI | Contact No | 7449983889 |
| Address | 4/A CHATRA MUSALMAN PARA SERAMPORE | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 100/70 mmHg | Weight | 52.5 KG |
| Pulse Rate | / min | Height | 153.4 cm BMI: 22.310463 |
| Diagnosis | |||