Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 04426 | Date 27/03/2019 |
| Token No | SM/21-22/4853 07/09/2021 | Serial | 030 Last Visit: 09/12/2024 |
| Patient Name | Mrs. SARIFA BEGAM | Contact No | 6289256409 |
| Address | 13 BARIN GHOSH LANE CHATRA KUMAR PARA SERAMPORE | Age | 60 Years,11 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||