Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 06012 | Date 30/07/2019 |
| Token No | SM/19-20/10547 17/09/2019 | Serial | 038 Last Visit: 07/04/2025 |
| Patient Name | Mrs. AJANTA SARDAR | Contact No | 8420096672 |
| Address | CHATRA BAGER BAGAN , BAIDYABATI(M) | Age | 49 Years,2 Months,19 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||