Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06991 | Date 26/11/2019 |
| Token No | SM/24-25/33300 05/06/2024 | Serial | 061 Last Visit: 25/06/2025 |
| Patient Name | Mrs. ASIMA SOM | Contact No | 9831510627 |
| Address | 124/C CHATRA BARUI PARA SHIBTALAL, SERAMPORE | Age | 62 Years,5 Months,23 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 90/60 mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||