Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10664 | Date 11/02/2022 |
| Token No | SM/21-22/10196 23/02/2022 | Serial | 047 Last Visit: 22/06/2024 |
| Patient Name | Mrs. SARASWATI DAS | Contact No | 8100513061 |
| Address | 7 HARIJAN ROAD CHATRA SERAMPORE | Age | 61 Years,5 Months,20 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||