Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 08692 | Date 02/09/2020 |
| Token No | SM/20-21/28515 17/12/2020 | Serial | 021 Last Visit: 14/06/2024 |
| Patient Name | Mrs. KAJAL DAS | Contact No | |
| Address | serampore | Age | 25 Years,5 Months,12 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||