Ticket for Outdoor Patient
| Ward No. 21 | U-PHC No. | Registration No. 14419 | Date 19/10/2024 |
| Token No | SM/24-25/38339 19/10/2024 | Serial | 019 Last Visit: 19/10/2024 |
| Patient Name | Master RAJ SHAW | Contact No | |
| Address | 390 G.T ROAD MAHESH SERAMPORE | Age | 14 Years,0 Months,18 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||