Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14451 | Date 23/10/2024 |
| Token No | SM/24-25/38724 28/10/2024 | Serial | 054 Last Visit: 28/10/2024 |
| Patient Name | Mr. LAXMIKANTA MOHANTA | Contact No | 9093896175 |
| Address | BALIGORI,HOOGHLY,W.B-712410 | Age | 31 Years,11 Months,17 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||