Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10204 | Date 18/10/2021 |
| Token No | SM/21-22/6022 18/10/2021 | Serial | 058 Last Visit: 05/09/2024 |
| Patient Name | Mrs. SAHANAJ BEGAM | Contact No | |
| Address | 56,N.N.ROY STREET,SERAMPORE,HOOGHLY-712201 | Age | 51 Years,8 Months,3 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||