Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03572 | Date 14/02/2019 |
| Token No | SM/21-22/9229 21/01/2022 | Serial | 037 Last Visit: 27/06/2024 |
| Patient Name | Mrs. LILY CHATTERJEE | Contact No | 9007601157 |
| Address | 14 CHOWDHURY PARA BYE LANE CHATRA SERAMPORE | Age | 51 Years,5 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||