Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13638 | Date 03/05/2024 |
| Token No | SM/24-25/35797 06/08/2024 | Serial | 010 Last Visit: 18/03/2025 |
| Patient Name | Mrs. RANJANA BANERJEE | Contact No | |
| Address | GOPALPUR,AKUNI, HOOGHLY | Age | 54 Years,10 Months,17 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||