Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 07663 | Date 28/02/2020 |
| Token No | SM/22-23/12353 11/05/2022 | Serial | 015 Last Visit: 06/03/2023 |
| Patient Name | Mrs. MARIA KHATUN | Contact No | 9831488770 |
| Address | MALIA , HOOGHLY | Age | 30 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||