Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06335 | Date 05/09/2019 |
| Token No | SM/19-20/9912 06/09/2019 | Serial | 077 Last Visit: 12/11/2025 |
| Patient Name | Mrs. TAPASI MUKHERJEE | Contact No | 8240203822 |
| Address | 16 CHATRA CHOWDHURY PARA LANE SERAMPORE | Age | 58 Years,3 Months,12 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||