Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00119 | Date 04/08/2018 |
| Token No | SM/19-20/5668 01/07/2019 | Serial | 001 Last Visit: 06/12/2025 |
| Patient Name | Mrs. PURABI ROY | Contact No | 8336836739 |
| Address | 19 RAJA K.L. GOSWAMI STREET, SERAMPORE | Age | 63 Years,11 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 59 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||