Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 12601 | Date 09/10/2023 |
| Token No | SM/22-23/25251 11/10/2023 | Serial | 061 Last Visit: 11/10/2023 |
| Patient Name | Miss BABI RAM | Contact No | 7003212141 |
| Address | 7/B CHAKRABORTY BY LANE SERAMPORE | Age | 11 Years,1 Months,2 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||