Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00424 | Date 14/08/2018 |
| Token No | SM/18-19/3717 15/11/2018 | Serial | 012 Last Visit: 11/09/2024 |
| Patient Name | Mrs. CHHANDA LAHIRI | Contact No | 9830491476 |
| Address | 23, LAHIRI PARA LANE CHATRA SERAMPORE | Age | 66 Years,8 Months,10 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||