Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13639 | Date 03/05/2024 |
| Token No | SM/24-25/33220 04/06/2024 | Serial | 002 Last Visit: 04/06/2024 |
| Patient Name | Mrs. MOUSUMI BANERJEE | Contact No | |
| Address | DANKUNI, HOOGHLY | Age | 42 Years,0 Months,3 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||