Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00517 | Date 17/08/2018 |
| Token No | SM/18-19/9733 02/03/2019 | Serial | 052 Last Visit: 20/01/2025 |
| Patient Name | Mrs. KAKALI DAS | Contact No | 9674576689 |
| Address | 16, RAJA K.L GOSWAMI STREET, SERAMPORE | Age | 34 Years,0 Months,19 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||