Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11833 | Date 05/01/2023 |
| Token No | SM/22-23/19504 05/01/2023 | Serial | 042 Last Visit: 05/01/2023 |
| Patient Name | Mrs. PURNIMA SARKAR DEY | Contact No | 8682003983 |
| Address | DR.BAGAN LANE SERAMPORE | Age | 28 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||