Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01136 | Date 14/09/2018 |
| Token No | SM/18-19/2969 27/10/2018 | Serial | 018 Last Visit: 15/05/2024 |
| Patient Name | Mrs. TUMPA BHATTAERJEE | Contact No | 8100490076 |
| Address | 37 A P GHOSH ROAD, CHATRA SERAMPORE | Age | 42 Years,7 Months,29 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||