Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 09358 | Date 19/03/2021 |
| Token No | SM/20-21/30997 20/03/2021 | Serial | 026 Last Visit: 06/02/2025 |
| Patient Name | Mrs. SHABANA KHATOON | Contact No | 9330932987 |
| Address | 5 PARSHI LANE,SERAMPORE M, PIN-712201,HOOGHLY,W.B | Age | 29 Years,4 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||