Ticket for Outdoor Patient
| Ward No. 14 | U-PHC No. | Registration No. 10399 | Date 09/12/2021 |
| Token No | SM/21-22/7660 10/12/2021 | Serial | 023 Last Visit: 10/12/2021 |
| Patient Name | Mrs. MALATI PRAMANIK | Contact No | |
| Address | 7/A KAILASH CHANDRA CHATTERJEE LANE SERAMPORE | Age | 57 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||