Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14319 | Date 01/10/2024 |
| Token No | SM/24-25/37814 01/10/2024 | Serial | 005 Last Visit: 01/10/2024 |
| Patient Name | Mrs. SUMITA DEY | Contact No | |
| Address | 323/A G.T.ROAD MAHESH SERAMPORE | Age | 54 Years,0 Months,0 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||