Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12970 | Date 18/12/2023 |
| Token No | SM/22-23/29787 01/03/2024 | Serial | 035 Last Visit: 01/03/2024 |
| Patient Name | Mrs. SHIBANI CHAKRABORTTY | Contact No | |
| Address | 16/A KHATIR BAZAR LANE | Age | 51 Years,2 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||