Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 12477 | Date 16/09/2023 |
| Token No | SM/22-23/24555 20/09/2023 | Serial | 033 Last Visit: 20/09/2023 |
| Patient Name | Miss SULTANA PARVEEN | Contact No | 7449738066 |
| Address | CHATRA MUSALMAN PARA BYE LANE SERAMPORE | Age | 15 Years,11 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49.9 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||