Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 14372 | Date 05/10/2024 |
| Token No | SM/24-25/38026 05/10/2024 | Serial | 056 Last Visit: 05/10/2024 |
| Patient Name | Mrs. MAMATA PRASAD | Contact No | |
| Address | 10 BOSE PARA LANE MAHESH SERAMPORE | Age | 63 Years,0 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||