Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14390 | Date 15/10/2024 |
| Token No | SM/24-25/38203 15/10/2024 | Serial | 002 Last Visit: 15/10/2024 |
| Patient Name | Mrs. RUMA BHATTACHARYA | Contact No | |
| Address | 277/D G.T ROAD MAHESH | Age | 53 Years,0 Months,14 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||