Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00353 | Date 11/08/2018 |
| Token No | SM/18-19/5102 12/12/2018 | Serial | 016 Last Visit: 17/12/2025 |
| Patient Name | Mrs. SUPRIYA NANDI | Contact No | 9674320361 |
| Address | 31, DR, P.N. MUKHERJEE STREET SERAMPORE | Age | 54 Years,11 Months,15 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||