Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08896 | Date 19/10/2020 |
| Token No | SM/20-21/27434 10/11/2020 | Serial | 075 Last Visit: 10/05/2025 |
| Patient Name | Mrs. MANIKA DAS | Contact No | |
| Address | serampore | Age | 27 Years,4 Months,7 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||