Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 01879 | Date 03/11/2018 |
| Token No | SM/21-22/10287 25/02/2022 | Serial | 043 Last Visit: 08/06/2022 |
| Patient Name | Mrs. KANAK DAS | Contact No | 9163198169 |
| Address | B2/301 161F SUBHASH NAGAR HOUSING COMPLEX, M J ROAD , SERAMPORE, PRAVASNAGAR, | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||