Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14395 | Date 15/10/2024 |
| Token No | SM/24-25/38208 15/10/2024 | Serial | 007 Last Visit: 31/10/2024 |
| Patient Name | Mrs. BARSHA ADHIKARI | Contact No | |
| Address | SERAMPORE | Age | 28 yea Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||