Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06149 | Date 19/08/2019 |
| Token No | SM/22-23/11856 20/04/2022 | Serial | 044 Last Visit: 22/04/2022 |
| Patient Name | Mrs. HIRA MUKHERJEE | Contact No | 7003852650 |
| Address | 224, CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||