Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14231 | Date 05/09/2024 |
| Token No | SM/24-25/36862 05/09/2024 | Serial | 049 Last Visit: 21/10/2025 |
| Patient Name | Mr. DEEP BANERJEE | Contact No | |
| Address | GOPALPUR, AKUNI , HOOGHLY | Age | 24 Years,1 Months,19 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||