Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 12787 | Date 04/12/2023 |
| Token No | SM/22-23/26824 06/12/2023 | Serial | 039 Last Visit: 11/12/2023 |
| Patient Name | Mrs. ISRAWATI DEVI | Contact No | 9874630820 |
| Address | 15 KAPURIYA PATTY LANE SERAMPORE | Age | 65 Years,5 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 50.9 KG |
| Pulse Rate | / min | Height | 133 cm BMI: 28.774945 |
| Diagnosis | |||