Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05886 | Date 22/07/2019 |
| Token No | SM/19-20/8408 14/08/2019 | Serial | 010 Last Visit: 17/12/2025 |
| Patient Name | Mrs. BELA SETT | Contact No | 9874759569 |
| Address | 470(309) G.T ROAD BOWBAZAR , BAIDYABATI(M) | Age | 67 Years,11 Months,15 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||