Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11699 | Date 23/11/2022 |
| Token No | SM/22-23/18251 24/11/2022 | Serial | 060 Last Visit: 04/01/2023 |
| Patient Name | Mrs. SARFU NISA | Contact No | 6295266873 |
| Address | 10 CHATRA KANAI DEWAN TALA LANE SERAMPORE | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | 161 cm BMI: 23.147255 |
| Diagnosis | |||