Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 05547 | Date 24/06/2019 |
| Token No | SM/19-20/5367 26/06/2019 | Serial | 031 Last Visit: 20/03/2023 |
| Patient Name | Mrs. SATHI MUKHERJEE | Contact No | 8479940366 |
| Address | 297 TELIPARA LANE , BAIDYABATI(M) | Age | 20 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||