Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12829 | Date 08/12/2023 |
| Token No | SM/22-23/26864 08/12/2023 | Serial | 006 Last Visit: 08/12/2023 |
| Patient Name | Mrs. BABY SHAW | Contact No | 9681396498 |
| Address | 41/21 N S SERAMPORE | Age | 46 Years,11 Months,5 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||