Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03412 | Date 06/02/2019 |
| Token No | SM/18-19/8199 07/02/2019 | Serial | 026 Last Visit: 07/10/2023 |
| Patient Name | Mrs. MILI DAS | Contact No | |
| Address | SERAMPORE | Age | 22 Years,0 Months,5 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||