Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 13868 | Date 13/06/2024 |
| Token No | SM/24-25/33722 15/06/2024 | Serial | 026 Last Visit: 18/06/2024 |
| Patient Name | Mrs. RAHIMA KHATOON | Contact No | 9330356752 |
| Address | 17/B MUSALMAN PARA BYE LANE SERAMPORE | Age | 23 Years,6 Months,10 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||