Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 08857 | Date 13/10/2020 |
| Token No | SM/21-22/10284 25/02/2022 | Serial | 040 Last Visit: 03/12/2025 |
| Patient Name | Mrs. BIJALI GHOSH | Contact No | 8017115510 |
| Address | 256,66/1/D RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 47 Years,11 Months,1 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||