Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 07264 | Date 31/12/2019 |
| Token No | SM/21-22/11194 29/03/2022 | Serial | 053 Last Visit: 25/06/2025 |
| Patient Name | Mrs. YASMIN BEGAM | Contact No | 9748769244 |
| Address | 7A ARBINDA SARANI CHATRA SERAMPORE | Age | 36 Years,5 Months,22 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||