Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03210 | Date 29/01/2019 |
| Token No | SM/22-23/29075 10/02/2024 | Serial | 053 Last Visit: 08/04/2024 |
| Patient Name | Mrs. LATIKA DAS | Contact No | 9836013982 |
| Address | 101 N.S AVENUE, SERAMPORE | Age | 53 Years,3 Months,6 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||