Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06668 | Date 17/10/2019 |
| Token No | SM/20-21/30165 27/02/2021 | Serial | 012 Last Visit: 04/12/2025 |
| Patient Name | Mrs. TUMPA BANERJEE | Contact No | 8334035051 |
| Address | 11 CHOWDHURY PARA LANE SERAMPORE | Age | 35 Years,11 Months,2 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||