Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13091 | Date 06/01/2024 |
| Token No | SM/25-26/6821 10/10/2025 | Serial | 012 Last Visit: 10/10/2025 |
| Patient Name | Mrs. DIPALI BANERJEE | Contact No | |
| Address | SERAMPORE | Age | 69 Years,0 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||