Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11795 | Date 21/12/2022 |
| Token No | SM/22-23/19155 22/12/2022 | Serial | 045 Last Visit: 09/03/2023 |
| Patient Name | Mrs. SAIMA KHATUN | Contact No | 9330624563 |
| Address | 12/A MUSALMAN PARA BYE LANE SERAMPORE | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 40 KG |
| Pulse Rate | / min | Height | 154 cm BMI: 16.866251 |
| Diagnosis | |||