Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05917 | Date 24/07/2019 |
| Token No | SM/20-21/26331 05/10/2020 | Serial | 067 Last Visit: 06/06/2025 |
| Patient Name | Mrs. MANJU RAY | Contact No | 9477563731 |
| Address | 36 BHADURI PARA LANE CHATRA SERAMPORE | Age | 65 Years,5 Months,4 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||