Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 06955 | Date 22/11/2019 |
| Token No | SM/19-20/13848 23/11/2019 | Serial | 043 Last Visit: 05/03/2024 |
| Patient Name | Miss TANUSHRI SINGH | Contact No | 9051957175 |
| Address | 10/B, CHAMPATALA LANE, CHATRA HOOGHLY | Age | 17 Years,8 Months,2 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||