Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 15501 | Date 09/06/2025 |
| Token No | SM/25-26/2351 11/06/2025 | Serial | 008 Last Visit: 11/06/2025 |
| Patient Name | Miss RUPSA SINGH | Contact No | 8420675733 |
| Address | 54 MUKHERJEE PARA LANE SERAMPORE | Age | 15 Years,5 Months,21 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 35 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||