Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 08303 | Date 02/06/2020 |
| Token No | SM/19-20/22737 04/06/2020 | Serial | 022 Last Visit: 01/10/2024 |
| Patient Name | Mrs. SAHERA BANU | Contact No | 7044575749 |
| Address | 5/A/1, MUSALMAN PARA CHATRA SERAMPORE | Age | 35 Years,9 Months,29 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||