Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10267 | Date 09/11/2021 |
| Token No | SM/21-22/10010 18/02/2022 | Serial | 065 Last Visit: 17/12/2025 |
| Patient Name | Mrs. KALYANI BANERJEE | Contact No | 9331502854 |
| Address | 13,DHARMATALA LANE SERAMPORE | Age | 87 Years,11 Months,15 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||