Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02461 | Date 11/12/2018 |
| Token No | SM/18-19/5179 13/12/2018 | Serial | 026 Last Visit: 25/07/2024 |
| Patient Name | Mrs. MOUMITA CHATERJEE | Contact No | 9748068816 |
| Address | 1/D CHATRA DUTTA PARA LANE | Age | 32 Years,9 Months,22 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||