Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10380 | Date 04/12/2021 |
| Token No | SM/21-22/8806 10/01/2022 | Serial | 088 Last Visit: 10/12/2025 |
| Patient Name | Mrs. ARCHANA BENERJEE | Contact No | 8617755748 |
| Address | 33 MUKHERJEE PARA,BAIDYABATI(M) | Age | 62 Years,11 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||