Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13034 | Date 26/12/2023 |
| Token No | SM/22-23/27591 27/12/2023 | Serial | 053 Last Visit: 29/12/2023 |
| Patient Name | Mrs. KALPANA SARKAR | Contact No | 9330761221 |
| Address | LOKNATH PALLY SHEORAPHULI SANPUKUR DHAR , BAIDYABATI (M) | Age | 65 Years,11 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 140/80 mmHg | Weight | 46.7 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||