Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 11370 | Date 29/07/2022 |
| Token No | SM/22-23/15204 30/07/2022 | Serial | 002 Last Visit: 04/08/2022 |
| Patient Name | Mrs. NILIMA NATH | Contact No | 6290474527 |
| Address | 44/1A/CHATRA MUKHERJEE PARA | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 53.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||