Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11375 | Date 30/07/2022 |
| Token No | SM/22-23/15305 01/08/2022 | Serial | 050 Last Visit: 08/12/2022 |
| Patient Name | Mrs. ANISA KHATUN | Contact No | 8240265085 |
| Address | 226, S.C.M ROAD BAIDYABATI(M) | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 157.5 cm BMI: 19.753086 |
| Diagnosis | |||