Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00996 | Date 08/09/2018 |
| Token No | SM/18-19/4141 26/11/2018 | Serial | 014 Last Visit: 01/11/2025 |
| Patient Name | Mrs. KRISHANA SOM | Contact No | 9432264286 |
| Address | 30/B DUTTAS LANE | Age | 62 Years,10 Months,0 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||