Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00506 | Date 17/08/2018 |
| Token No | SM/21-22/6305 26/10/2021 | Serial | 059 Last Visit: 07/02/2022 |
| Patient Name | Mrs. MITALI CHATTERJEE | Contact No | 7278893559 |
| Address | 19, RAJA K.L GOSWAMI STREET, SERAMPORE | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||