Ticket for Outdoor Patient
| Ward No. 10 | U-PHC No. | Registration No. 04200 | Date 15/03/2019 |
| Token No | SM/21-22/4857 07/09/2021 | Serial | 034 Last Visit: 07/10/2025 |
| Patient Name | Mrs. SABITA JAISWARA | Contact No | 7449784201 |
| Address | 11 RABINDRA BHAWAN ROAD, SERAMPORE | Age | 37 Years,9 Months,5 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||