Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10693 | Date 21/02/2022 |
| Token No | SM/21-22/10195 23/02/2022 | Serial | 046 Last Visit: 23/02/2022 |
| Patient Name | Mrs. PARIBALA MITRA | Contact No | 9051868281 |
| Address | AMADPUR MEMARI BARDDHAMAN E N MUKHERJEE STREET SERAMPORE | Age | 60 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||