Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00416 | Date 14/08/2018 |
| Token No | SM/21-22/4146 17/08/2021 | Serial | 030 Last Visit: 26/03/2025 |
| Patient Name | Mrs. SUMITA MUKHERJEE | Contact No | 9830304489 |
| Address | 44A, CHAKRABORTY LANE | Age | 54 Years,2 Months,23 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||