Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 13313 | Date 22/02/2024 |
| Token No | SM/22-23/29445 22/02/2024 | Serial | 002 Last Visit: 13/12/2025 |
| Patient Name | Mrs. GITA CHANDRA | Contact No | 8017245197 |
| Address | 61 N N ROY STREET SERAMPORE | Age | 48 Years,11 Months,11 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 63.6 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||