Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 11677 | Date 15/11/2022 |
| Token No | SM/22-23/17953 15/11/2022 | Serial | 056 Last Visit: 18/11/2022 |
| Patient Name | Mrs. LUNA BANERJEE | Contact No | 8017146915 |
| Address | FL 301, HIRENDRA BHAVAN | Age | 56 Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||