Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08901 | Date 19/10/2020 |
| Token No | SM/21-22/9089 18/01/2022 | Serial | 046 Last Visit: 11/07/2022 |
| Patient Name | Mrs. LIPIKA MUKHERJEE | Contact No | 9674311909 |
| Address | 32 DR P N MUKHERJEE STREET SERAMPORE | Age | 40 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||