Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 10580 | Date 18/01/2022 |
| Token No | SM/21-22/9189 20/01/2022 | Serial | 048 Last Visit: 30/11/2023 |
| Patient Name | Mrs. SATYABMA DAS | Contact No | 7685875186 |
| Address | 4/A DOCTOR CHATTERJEE LANE SERAMPORE | Age | 35 Years,11 Months,1 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||