Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06837 | Date 11/11/2019 |
| Token No | SM/22-23/14840 21/07/2022 | Serial | 002 Last Visit: 25/08/2022 |
| Patient Name | Mrs. RANU SARKAR | Contact No | 8420843319 |
| Address | 22/C NATUN BAGAN LANE , SERAMPORE(M) | Age | 49 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 65 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||