Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02205 | Date 29/11/2018 |
| Token No | SM/18-19/4754 06/12/2018 | Serial | 009 Last Visit: 03/11/2025 |
| Patient Name | Mrs. PAYEL ADHIKARY | Contact No | 8272979472 |
| Address | 13/2 CHATRA CHOWDHURY PARA | Age | 37 Years,10 Months,2 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||