Ticket for Outdoor Patient
| Ward No. 19 | U-PHC No. | Registration No. 04056 | Date 07/03/2019 |
| Token No | SM/19-20/2914 17/05/2019 | Serial | 018 Last Visit: 03/11/2021 |
| Patient Name | Mrs. SHIKA BHATTCHARYYA | Contact No | 9123769766 |
| Address | 42 DN MUKHERJEE ROAD CHATRA , BAIDYABATI(M) | Age | 34 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||