Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 01461 | Date 01/10/2018 |
| Token No | SM/18-19/6100 02/01/2019 | Serial | 009 Last Visit: 17/09/2024 |
| Patient Name | Mrs. ANJANA SIL | Contact No | 8478897075 |
| Address | CHATRA GODAR BAGAN BY LANE BAIDYABATI(M) | Age | 43 Years,8 Months,15 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||