Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 14378 | Date 05/10/2024 |
| Token No | SM/24-25/38038 05/10/2024 | Serial | 068 Last Visit: 05/10/2024 |
| Patient Name | Mrs. MANISHA SAHA DAS | Contact No | |
| Address | 159 DEY BAGAN SERAMPORE | Age | 20 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 | |||