Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 12726 | Date 09/11/2023 |
| Token No | SM/25-26/80 03/04/2025 | Serial | 010 Last Visit: 03/04/2025 |
| Patient Name | Mrs. AHANA BANERJEE | Contact No | |
| Address | GOPALPUR AKURI HOOGHLY | Age | 15 Years,1 Months,2 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||