Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 07432 | Date 28/01/2020 |
| Token No | SM/19-20/18176 15/02/2020 | Serial | 075 Last Visit: 09/10/2023 |
| Patient Name | Mrs. SUCHARITA GHARA | Contact No | 8420837656 |
| Address | 32/38 CHATRA MUKHERJEE PARA , BAIDYABATI(M) | Age | 29 Years,10 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||