Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 15947 | Date 27/08/2025 |
| Token No | SM/25-26/5373 28/08/2025 | Serial | 020 Last Visit: 29/08/2025 |
| Patient Name | Miss DEBDIPA MUKHERJEE | Contact No | 9330028891 |
| Address | TRIANGULAR PLAZA BL-B, FLAT-402, 61/A THAKUR DAS BABU LANE SERAMPORE | Age | 22 Years,9 Months,11 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 55.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||