Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04272 | Date 18/03/2019 |
| Token No | SM/18-19/10851 19/03/2019 | Serial | 044 Last Visit: 18/01/2023 |
| Patient Name | Mrs. UMA PAUL | Contact No | 9163000427 |
| Address | P.N MUKHERJEE STREET SERAMPORE (M) | Age | 51 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||