Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 13886 | Date 14/06/2024 |
| Token No | SM/24-25/33806 19/06/2024 | Serial | 040 Last Visit: 08/11/2025 |
| Patient Name | Mrs. MALATI DAS | Contact No | 9831803145 |
| Address | 75, K.M SHA STREET, SERAMPORE, W.B | Age | 23 Years,1 Months,16 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||