Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 00375 | Date 11/08/2018 |
| Token No | SM/18-19/6852 15/01/2019 | Serial | 045 Last Visit: 29/12/2025 |
| Patient Name | Mrs. SUMANA CHAKRABORTY | Contact No | 9830305569 |
| Address | 24/D AUDDY LANE, SERAMPORE | Age | 48 Years,2 Months,17 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||