Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11515 | Date 01/09/2022 |
| Token No | SM/22-23/18282 26/11/2022 | Serial | 003 Last Visit: 26/11/2022 |
| Patient Name | Mrs. KUNTI DAS | Contact No | 8240518513 |
| Address | 72/1 A.P GHOSH ROAD SERAMPORE (M) CHATRA | Age | 36 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 149.3 cm BMI: 27.814552 |
| Diagnosis | |||