Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00035 | Date 02/08/2018 |
| Token No | SM/18-19/10723 18/03/2019 | Serial | 022 Last Visit: 07/07/2022 |
| Patient Name | Mrs. MITALI ROYCHOWDHURY | Contact No | 9830482415 |
| Address | GITEN LAHIRI PARA, BOT TOLA, SERAMPORE | Age | 56 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||