Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 14163 | Date 16/08/2024 |
| Token No | SM/24-25/42517 06/02/2025 | Serial | 005 Last Visit: 06/02/2025 |
| Patient Name | Mrs. SAJANI CHAKRABORTY | Contact No | |
| Address | MASAT, HOOGHLY | Age | 39 Years,6 Months,6 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||