Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 01914 | Date 05/11/2018 |
| Token No | SM/18-19/4692 05/12/2018 | Serial | 016 Last Visit: 21/07/2025 |
| Patient Name | Miss ANNESHA DEY | Contact No | 9674547401 |
| Address | 160 N S EVENU | Age | 12 Years,6 Months,18 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||