Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13854 | Date 11/06/2024 |
| Token No | SM/24-25/33550 11/06/2024 | Serial | 025 Last Visit: 11/06/2024 |
| Patient Name | Mrs. GOURI CHATTERJEE | Contact No | |
| Address | GOPALPUR, AKUNA ,HOOGHLY | Age | 58 Years,0 Months,10 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||