Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02099 | Date 22/11/2018 |
| Token No | SM/19-20/25463 04/09/2020 | Serial | 034 Last Visit: 03/12/2024 |
| Patient Name | Mrs. MITHU PAUL | Contact No | 9088465871 |
| Address | 50 CHATRA DHARMATALA LANE SERAMPORE | Age | 39 Years,11 Months,1 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||