Ticket for Outdoor Patient
| Ward No. 16 | U-PHC No. | Registration No. 10369 | Date 01/12/2021 |
| Token No | SM/21-22/7427 02/12/2021 | Serial | 039 Last Visit: 01/10/2024 |
| Patient Name | Mrs. ASHA BHUINYA | Contact No | 7605852734 |
| Address | J.N LAHIRI ROAD SERAMPORE | Age | 36 Years,9 Months,0 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||