Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12547 | Date 05/10/2023 |
| Token No | SM/22-23/25001 06/10/2023 | Serial | 028 Last Visit: 10/10/2023 |
| Patient Name | Mrs. MAMONI KHETRA PAL | Contact No | 6290969124 |
| Address | JITEN LAHIRI ROAD, SERAMPORE | Age | 32 Years,9 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 41.8 KG |
| Pulse Rate | / min | Height | 142.5 cm BMI: 20.584795 |
| Diagnosis | |||