Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03337 | Date 04/02/2019 |
| Token No | SM/20-21/28665 22/12/2020 | Serial | 012 Last Visit: 29/08/2022 |
| Patient Name | Mrs. LAKSHMI BANERJEE | Contact No | 9748120530 |
| Address | 16 NO. PROF. K.K MUKHERJEE SARANI CHATRA | Age | 52 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||