Ticket for Outdoor Patient
| Ward No. 25 | U-PHC No. | Registration No. 14399 | Date 17/10/2024 |
| Token No | SM/24-25/38235 17/10/2024 | Serial | 001 Last Visit: 17/10/2024 |
| Patient Name | Mrs. SHYAMALI ADHIKARI | Contact No | |
| Address | 3/44 MAHESH COLONY SERAMPORE | Age | 40 Years,0 Months,16 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||