Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05739 | Date 11/07/2019 |
| Token No | SM/21-22/2031 08/06/2021 | Serial | 033 Last Visit: 10/03/2025 |
| Patient Name | Miss PIYALI BANERJEE | Contact No | 9674538164 |
| Address | 19 A A. P. GHOSH ROAD, | Age | 31 Years,4 Months,3 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||