Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 16208 | Date 28/10/2025 |
| Token No | SM/25-26/7386 29/10/2025 | Serial | 034 Last Visit: 17/12/2025 |
| Patient Name | Mrs. KALPANA MUKHERJEE | Contact No | 8478098820 |
| Address | 24/A K.K. MUKHERJEE SARANI SERAMPORE | Age | 55 Years,4 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | 143.5 cm BMI: 0.000000 |
| Diagnosis | |||