Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 11920 | Date 09/02/2023 |
| Token No | SM/22-23/20262 09/02/2023 | Serial | 029 Last Visit: 19/11/2024 |
| Patient Name | Mrs. KETAKI BOSE | Contact No | |
| Address | SERAMPORE | Age | 36 Years,10 Months,18 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||