Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03515 | Date 12/02/2019 |
| Token No | SM/21-22/10291 25/02/2022 | Serial | 047 Last Visit: 28/11/2025 |
| Patient Name | Mrs. PRIYANKA MANNA | Contact No | 9339418168 |
| Address | 16 CHAKRABORTY LANE SERAMPORE HOOGHLY | Age | 35 Years,10 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||