Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 01849 | Date 02/11/2018 |
| Token No | SM/19-20/19766 17/03/2020 | Serial | 025 Last Visit: 14/07/2021 |
| Patient Name | Mrs. CHINA CHATERJEE | Contact No | 8420987835 |
| Address | 8/A, SIDESWARI LANE CHATRA SERAMPORE | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||