Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03980 | Date 02/03/2019 |
| Token No | SM/18-19/9792 02/03/2019 | Serial | 111 Last Visit: 01/07/2025 |
| Patient Name | Miss RAJASHREE PRAMANIK | Contact No | 9163036162 |
| Address | 9/3 GODAR BAGAN LANE,BAIDYABATI(M) | Age | 16 Years,6 Months,28 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 39 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||