Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11519 | Date 02/09/2022 |
| Token No | SM/22-23/16386 05/09/2022 | Serial | 059 Last Visit: 07/10/2022 |
| Patient Name | Mrs. HASMAT DURA | Contact No | 8100193172 |
| Address | 37/A/1 MUSALMAN PARA LANE SERAMPORE | Age | 24 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 161 cm BMI: 25.076193 |
| Diagnosis | |||