Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 10812 | Date 17/03/2022 |
| Token No | SM/22-23/11320 02/04/2022 | Serial | 014 Last Visit: 02/04/2022 |
| Patient Name | Mrs. JHUMA GUHA ROY | Contact No | 7047616826 |
| Address | 35/1RAMKRISHNA ROAD,BAIDYABATI(M) | Age | 33 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||