Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08530 | Date 13/07/2020 |
| Token No | SM/21-22/9225 21/01/2022 | Serial | 033 Last Visit: 03/05/2024 |
| Patient Name | Mrs. JHARNA PATRA | Contact No | 9339565611 |
| Address | 39 S.C CHATTERJEE SARANI SERAMPORE MALLICKPARA | Age | 40 Years,4 Months,1 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||