Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04536 | Date 04/04/2019 |
| Token No | SM/19-20/13618 20/11/2019 | Serial | 027 Last Visit: 17/12/2025 |
| Patient Name | Mrs. SARMISTHA BANERJEE | Contact No | 9331502854 |
| Address | 13 CHATRA DHARMOTALA LANE SERAMPORE | Age | 55 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 | |||