Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12785 | Date 02/12/2023 |
| Token No | SM/25-26/7297 25/10/2025 | Serial | 003 Last Visit: 25/10/2025 |
| Patient Name | Mrs. RUMKI CHAKRABORTY | Contact No | |
| Address | ANIYA, HOOGHLY | Age | 36 Years,4 Months,24 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||