Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02140 | Date 26/11/2018 |
| Token No | SM/21-22/7926 20/12/2021 | Serial | 028 Last Visit: 12/11/2022 |
| Patient Name | Mrs. JOYSHREE MUKHERJEE | Contact No | 8276899126 |
| Address | 60 B HARIS MUKHERJEE ROAD BHAWANIPUR, KOLKATA | Age | 55 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||