Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 04365 | Date 25/03/2019 |
| Token No | SM/18-19/11336 27/03/2019 | Serial | 040 Last Visit: 17/06/2025 |
| Patient Name | Mrs. APARNA NANDI | Contact No | 9830974266 |
| Address | 89/1 RAMKRISNA ROAD MANA PARA | Age | 48 Years,5 Months,14 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||