Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12982 | Date 19/12/2023 |
| Token No | SM/22-23/27351 19/12/2023 | Serial | 035 Last Visit: 19/12/2023 |
| Patient Name | Mrs. PRIYA KESHRI | Contact No | 9304753723 |
| Address | 6/A RAY LAND ROAD SERAMPORE | Age | 22 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 | |||