Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 14302 | Date 28/09/2024 |
| Token No | SM/24-25/37696 28/09/2024 | Serial | 015 Last Visit: 28/09/2024 |
| Patient Name | Mrs. SUSMITA CHAKRABORTY | Contact No | |
| Address | 14/A/2/B KHATIR BAZAR LANE, SERAMPORE | Age | 32 Years,0 Months,27 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||