Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05925 | Date 24/07/2019 |
| Token No | SM/19-20/8064 07/08/2019 | Serial | 007 Last Visit: 07/05/2024 |
| Patient Name | Mrs. PICKA DUTTA | Contact No | 7003704832 |
| Address | 47/B CHATRA BARUI PARA SERAMPORE | Age | 46 Years,4 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||