Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 05604 | Date 27/06/2019 |
| Token No | SM/19-20/5951 06/07/2019 | Serial | 014 Last Visit: 23/07/2025 |
| Patient Name | Mrs. CHANDANA DEY | Contact No | 9674357914 |
| Address | 12 G/2 ARABINDA SARANI CHATRA KUMOR PARA | Age | 42 Years,10 Months,21 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 60 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||