Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10755 | Date 07/03/2022 |
| Token No | SM/22-23/11313 02/04/2022 | Serial | 007 Last Visit: 29/04/2024 |
| Patient Name | Mrs. SANDHAYPAKRHE | Contact No | 6290533367 |
| Address | 29 DAKSHIN BHATTACHARYA PARA CHATRA BAIDYABATI HOOGHLY | Age | 53 Years,3 Months,27 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||