Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02351 | Date 05/12/2018 |
| Token No | SM/19-20/4598 14/06/2019 | Serial | 073 Last Visit: 16/03/2022 |
| Patient Name | Mrs. ANIMA BISWAS | Contact No | 9038421203 |
| Address | CHATRA LANKAR BAGAN , BAIDYABATI (M) | Age | 58 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||