Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14401 | Date 17/10/2024 |
| Token No | SM/24-25/38237 17/10/2024 | Serial | 003 Last Visit: 17/10/2024 |
| Patient Name | Mrs. MALA MAITY | Contact No | |
| Address | 11 B.L.C MILLS BYE LANE MAHESH | Age | 48 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 | |||