Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00872 | Date 01/09/2018 |
| Token No | SM/22-23/25074 07/10/2023 | Serial | 050 Last Visit: 07/10/2023 |
| Patient Name | Miss MANJISTHA GHOSH | Contact No | 9088914432 |
| Address | 29/C CHAKRABORTY LANE, SERAMPORE | Age | 5 Years,9 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 20 KG |
| Pulse Rate | / min | Height | 118.2 cm BMI: 14.315122 |
| Diagnosis | |||