Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 15063 | Date 25/02/2025 |
| Token No | SM/25-26/7135 17/10/2025 | Serial | 001 Last Visit: 17/10/2025 |
| Patient Name | Mrs. BANI CHAKRABORTY | Contact No | |
| Address | MOSAT, HOOGHLY | Age | 66 Years,8 Months,15 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||