Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13978 | Date 03/07/2024 |
| Token No | SM/25-26/5355 28/08/2025 | Serial | 002 Last Visit: 28/08/2025 |
| Patient Name | Mrs. KAROBI DAS | Contact No | |
| Address | BARUIPARA , SINGUR, HOOGHLY | Age | 48 Years,1 Months,27 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||