Ticket for Outdoor Patient
| Ward No. 24 | U-PHC No. | Registration No. 14373 | Date 05/10/2024 |
| Token No | SM/24-25/38027 05/10/2024 | Serial | 057 Last Visit: 05/10/2024 |
| Patient Name | Mrs. SHABANA KHATOON | Contact No | |
| Address | L.I.G 83, SERAMPORE , HOUSING | Age | 25 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 | |||