Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 12774 | Date 29/11/2023 |
| Token No | SM/22-23/26630 30/11/2023 | Serial | 050 Last Visit: 30/11/2023 |
| Patient Name | Miss TRIPTI GANGAPUTRA | Contact No | 9088872765 |
| Address | 41 A P GHOSH ROAD CHATRA SERAMPORE | Age | 6 Years,10 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||