Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07710 | Date 04/03/2020 |
| Token No | SM/19-20/19238 06/03/2020 | Serial | 063 Last Visit: 24/09/2024 |
| Patient Name | Mrs. REBA GHOSH | Contact No | 9339118246 |
| Address | 43/F CHATRA MUKHERJEE PARA, BAIDYABATI(M) | Age | 53 Years,8 Months,23 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||