Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 05137 | Date 16/05/2019 |
| Token No | SM/20-21/28190 07/12/2020 | Serial | 034 Last Visit: 27/11/2025 |
| Patient Name | Mrs. MADHOBI AOUN | Contact No | 9007383681 |
| Address | CHATRA GODAR BAGAN , BAIDYABATI(M) | Age | 46 Years,10 Months,26 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||