Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11720 | Date 29/11/2022 |
| Token No | SM/22-23/18601 06/12/2022 | Serial | 002 Last Visit: 06/12/2022 |
| Patient Name | Mrs. PAUSHALI SARDAR | Contact No | 8777260821 |
| Address | 16 POTI PARA CHATRA SERAMPORE | Age | 26 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||