Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 06163 | Date 20/08/2019 |
| Token No | SM/19-20/8856 21/08/2019 | Serial | 018 Last Visit: 09/07/2025 |
| Patient Name | Mrs. PARVEEN BEGAM | Contact No | 6290657476 |
| Address | 23/1 MUSALMAN PARA BYE LANE SERAMPORE | Age | 46 Years,6 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||