Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 09867 | Date 23/07/2021 |
| Token No | SM/21-22/4514 27/08/2021 | Serial | 049 Last Visit: 07/06/2022 |
| Patient Name | Mrs. SANTI MONDAL | Contact No | 9331239183 |
| Address | 8/A DR. G.C GOSWAMI STREET SERAMPORE | Age | 71 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||