Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10441 | Date 21/12/2021 |
| Token No | SM/21-22/10698 11/03/2022 | Serial | 051 Last Visit: 28/11/2025 |
| Patient Name | Mrs. UMA PODDAR | Contact No | 8509137669 |
| Address | 13 DR P N MUKHERJEE STREET , SERAMPORE CHATRA, HOOGHLY | Age | 58 Years,1 Months,17 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||