Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11842 | Date 10/01/2023 |
| Token No | SM/22-23/19641 10/01/2023 | Serial | 039 Last Visit: 21/08/2023 |
| Patient Name | Mrs. SIMA SANTRA | Contact No | 8582886022 |
| Address | NASIBPUR, NASIBPUR HOOGHLY WEST BENGAL ,PIN 712223 | Age | 41 Years,7 Months,13 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||