Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13884 | Date 14/06/2024 |
| Token No | SM/24-25/33728 15/06/2024 | Serial | 032 Last Visit: 31/07/2024 |
| Patient Name | Mrs. PAYEL ADHIKARI | Contact No | 8272979472 |
| Address | 13/2 CHOWDHURY PARA LANE, SERAMPORE,CHATRA,W.B | Age | 43 Years,6 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||