Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 10675 | Date 15/02/2022 |
| Token No | SM/21-22/10234 24/02/2022 | Serial | 037 Last Visit: 29/03/2025 |
| Patient Name | Mrs. SANDHYA CHAUDHURI | Contact No | 8478988936 |
| Address | BELUMILKI SERAMPORE | Age | 59 Years,2 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||