Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09214 | Date 27/01/2021 |
| Token No | SM/21-22/3441 23/07/2021 | Serial | 057 Last Visit: 13/12/2021 |
| Patient Name | Mrs. MINATI GHOSH | Contact No | 6290339775 |
| Address | 45 B M M LANE CHAMPADANI , BAIDYABATI(M) | Age | 54 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||