Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15120 | Date 12/03/2025 |
| Token No | SM/24-25/43896 13/03/2025 | Serial | 010 Last Visit: 17/03/2025 |
| Patient Name | Mrs. PUSPITA BISWAS | Contact No | 8420171369 |
| Address | 30 NO N D BOSE LANE DHARMADANGA , KONNAGAR | Age | 26 Years,7 Months,2 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 144/100 mmHg | Weight | 77.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||