Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13988 | Date 05/07/2024 |
| Token No | SM/25-26/1540 20/05/2025 | Serial | 020 Last Visit: 20/05/2025 |
| Patient Name | Mr. ABHIJIT BANERJEE | Contact No | |
| Address | GOPALPUR, AKUNI , HOOGHLY | Age | 47 Years,10 Months,18 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||