Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 06244 | Date 28/08/2019 |
| Token No | SM/19-20/13989 25/11/2019 | Serial | 098 Last Visit: 29/12/2025 |
| Patient Name | Mrs. ARADHANA JHA | Contact No | 7003856876 |
| Address | 64, N.N RAY STREET SERAMPORE | Age | 28 Years,8 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||