Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 04172 | Date 11/03/2019 |
| Token No | SM/19-20/9955 07/09/2019 | Serial | 024 Last Visit: 18/12/2025 |
| Patient Name | Miss RITTIKA SINGH | Contact No | 9903371427 |
| Address | 53 MUKHERJEE PARA LANE SERAMPORE | Age | 14 Years,8 Months,29 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||