Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13805 | Date 04/06/2024 |
| Token No | SM/24-25/33219 04/06/2024 | Serial | 001 Last Visit: 04/06/2024 |
| Patient Name | Mr. SUSMIT BANERJEE | Contact No | |
| Address | DANKUNI, HOOGHLY | Age | 51 Years,0 Months,3 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||