Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 13170 | Date 30/01/2024 |
| Token No | SM/22-23/28566 30/01/2024 | Serial | 049 Last Visit: 25/11/2025 |
| Patient Name | Miss PAPIYA CHAKRABORTY | Contact No | 9735695082 |
| Address | P N MUKHERJEE STREET SERAMPORE | Age | 26 Years,6 Months,13 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||