Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12976 | Date 19/12/2023 |
| Token No | SM/22-23/27345 19/12/2023 | Serial | 029 Last Visit: 19/12/2023 |
| Patient Name | Mrs. LATA BHATTCHARYA | Contact No | 9051419531 |
| Address | UPHC-1, SERAMPORE | Age | 42 Years,11 Months,16 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||