Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 09436 | Date 06/04/2021 |
| Token No | SM/21-22/1754 28/05/2021 | Serial | 023 Last Visit: 28/11/2025 |
| Patient Name | Mrs. SUDIPA LAHIRI | Contact No | 8335032479 |
| Address | 7,M.C LAHIRI STREET CHATRA SERAMPORE | Age | 55 Years,10 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||