Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09203 | Date 22/01/2021 |
| Token No | SM/20-21/29765 25/01/2021 | Serial | 049 Last Visit: 17/03/2025 |
| Patient Name | Mrs. ARUNA BANERJEE | Contact No | 9088522034 |
| Address | 22 DR, P. N. MUKHERJEE STREET CHATRA SERAMPORE | Age | 56 Years,2 Months,14 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||