Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15596 | Date 21/06/2025 |
| Token No | SM/25-26/2780 21/06/2025 | Serial | 005 Last Visit: 21/06/2025 |
| Patient Name | Mrs. KAKALI MALIK | Contact No | |
| Address | HOOGHLY | Age | 42 Years,0 Months,20 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||