Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 02975 | Date 14/01/2019 |
| Token No | SM/18-19/6809 15/01/2019 | Serial | 002 Last Visit: 06/12/2025 |
| Patient Name | Mrs. LAKSHMI PAL | Contact No | 7890325258 |
| Address | 33 CHATRA KUMER PARA | Age | 66 Years,11 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||