Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05818 | Date 18/07/2019 |
| Token No | SM/21-22/9821 12/02/2022 | Serial | 014 Last Visit: 27/11/2025 |
| Patient Name | Mrs. SUMAITRAYEE CHATTERJEE | Contact No | 9674779805 |
| Address | 14 CHOWDHURY PARA BEY LANE | Age | 51 Years,10 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||