Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01935 | Date 12/11/2018 |
| Token No | SM/18-19/3632 14/11/2018 | Serial | 021 Last Visit: 11/10/2023 |
| Patient Name | Miss ANUSHREE DAS | Contact No | 9674576689 |
| Address | 18 RAJA K. L. GOSWAMI STREET | Age | 15 Years,9 Months,9 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||