Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 08298 | Date 01/06/2020 |
| Token No | SM/21-22/10572 07/03/2022 | Serial | 036 Last Visit: 06/12/2025 |
| Patient Name | Mrs. ANIMA KUNDU | Contact No | 8017876520 |
| Address | 51 THAKUR DAS BABU LANE SERAMPORE | Age | 59 Years,11 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||