Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15526 | Date 11/06/2025 |
| Token No | SM/25-26/2357 11/06/2025 | Serial | 014 Last Visit: 11/06/2025 |
| Patient Name | Mrs. RAGINI CHOWDHURY | Contact No | 8583897700 |
| Address | 7 KENAS LANE | Age | 9 Years,1 Months,0 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 27.5 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||