Ticket for Outdoor Patient
| Ward No. 11 | U-PHC No. | Registration No. 11827 | Date 04/01/2023 |
| Token No | SM/22-23/19812 17/01/2023 | Serial | 048 Last Visit: 17/01/2023 |
| Patient Name | Miss NEHA BAR | Contact No | 9330219275 |
| Address | 153/170 NETAJI NAGAR BAIDYABATI (M) | Age | 21 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||