Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04320 | Date 20/03/2019 |
| Token No | SM/19-20/225 04/04/2019 | Serial | 014 Last Visit: 21/03/2022 |
| Patient Name | Mrs. AYESA BIBI | Contact No | 9875458679 |
| Address | 56, N.N ROY STREET SERAMPORE HOOGHLY | Age | 48 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||