Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 10473 | Date 29/12/2021 |
| Token No | SM/21-22/8602 06/01/2022 | Serial | 053 Last Visit: 10/03/2025 |
| Patient Name | Mrs. DEBDYUTI CHATTERJEE | Contact No | 7044702711 |
| Address | 5/A CHAKRABORTY LANE | Age | 34 Years,2 Months,7 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||