Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 14305 | Date 28/09/2024 |
| Token No | SM/24-25/37711 28/09/2024 | Serial | 030 Last Visit: 28/09/2024 |
| Patient Name | Mrs. JUGNU KHATOON | Contact No | |
| Address | 35B R.K ROAD. SERAMPORE | Age | 19 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 | |||