Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11398 | Date 05/08/2022 |
| Token No | SM/22-23/15513 06/08/2022 | Serial | 044 Last Visit: 02/09/2022 |
| Patient Name | Mrs. BITHIKA HALDER | Contact No | 8167292983 |
| Address | AKUNI, GOPALPUR, HOOGHLY, 712701 | Age | 45 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||