Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 10273 | Date 15/11/2021 |
| Token No | SM/25-26/1428 17/05/2025 | Serial | 034 Last Visit: 28/10/2025 |
| Patient Name | Mrs. PIYALI BENERJEE | Contact No | 6291121541 |
| Address | 74 A.P. GHOSH ROAD SERAMPORE | Age | 40 Years,9 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 104 KG |
| Pulse Rate | / min | Height | 157 cm BMI: 42.192381 |
| Diagnosis | |||