Ticket for Outdoor Patient
| Ward No. 23 | U-PHC No. | Registration No. 14504 | Date 08/11/2024 |
| Token No | SM/25-26/7605 05/11/2025 | Serial | 011 Last Visit: 17/12/2025 |
| Patient Name | Miss PIYALI CHAKRABORTY | Contact No | 9143334627 |
| Address | 16/A KHATIR BAZAR LANE | Age | 32 Years,4 Months,23 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||