Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 11665 | Date 12/11/2022 |
| Token No | SM/22-23/19030 20/12/2022 | Serial | 008 Last Visit: 29/12/2022 |
| Patient Name | Mrs. SHAMPA DAS | Contact No | 9038547725 |
| Address | 21/A/2 KUMIRJALA ROAD SERAMPORE | Age | 32 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 62 KG |
| Pulse Rate | / min | Height | 142 cm BMI: 30.747867 |
| Diagnosis | |||