Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05272 | Date 28/05/2019 |
| Token No | SM/19-20/3639 29/05/2019 | Serial | 006 Last Visit: 23/06/2021 |
| Patient Name | Mrs. KAKALI MUKHERJEE | Contact No | 9230496521 |
| Address | 2 ANATH BANDHU MUKHERJEE LANE SERAMPORE | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||