Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10412 | Date 13/12/2021 |
| Token No | SM/21-22/7758 14/12/2021 | Serial | 019 Last Visit: 03/12/2025 |
| Patient Name | Mrs. MANJULA NANDI | Contact No | 9163707914 |
| Address | 115,D.N MUKHERJEE ROAD SERAMPORE | Age | 65 Years,5 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||