Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 02398 | Date 07/12/2018 |
| Token No | SM/20-21/28189 07/12/2020 | Serial | 033 Last Visit: 12/11/2025 |
| Patient Name | Mrs. SOMA MUKHERJEE | Contact No | 9163523640 |
| Address | 7 DR. CHATERJEE LANE, SERAMORE | Age | 57 Years,10 Months,11 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||