Ticket for Outdoor Patient
| Ward No. 6 | U-PHC No. | Registration No. 11831 | Date 05/01/2023 |
| Token No | SM/22-23/19497 05/01/2023 | Serial | 035 Last Visit: 05/01/2023 |
| Patient Name | Miss SAHANAJ KHATUN | Contact No | 8017676928 |
| Address | 9,BENGAL COAL LANE SHEORAPHULY | Age | 38 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||