Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 14322 | Date 01/10/2024 |
| Token No | SM/24-25/37820 01/10/2024 | Serial | 011 Last Visit: 01/10/2024 |
| Patient Name | Mrs. SINDHUJA DAS | Contact No | |
| Address | 296 G.T.ROAD MAHESH SERAMPORE | Age | 12 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 | |||