Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11201 | Date 28/06/2022 |
| Token No | SM/22-23/19109 21/12/2022 | Serial | 065 Last Visit: 21/12/2022 |
| Patient Name | Mrs. KAJAL BALA PAL | Contact No | 9123988368 |
| Address | CHATRA PN MUKHERJEE ST | Age | 35 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | 163.5 cm BMI: 24.315200 |
| Diagnosis | |||