Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11578 | Date 16/09/2022 |
| Token No | SM/22-23/16834 17/09/2022 | Serial | 004 Last Visit: 23/09/2022 |
| Patient Name | Mrs. MALATI DUTTA | Contact No | 8013773701 |
| Address | 26 NO CHOWDHURY PARA LANE SERAMPORE | Age | 67 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 67 KG |
| Pulse Rate | / min | Height | 160.5 cm BMI: 26.009064 |
| Diagnosis | |||