Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09142 | Date 08/01/2021 |
| Token No | SM/20-21/29292 13/01/2021 | Serial | 015 Last Visit: 08/09/2025 |
| Patient Name | Mrs. SUDIPTA CHAKRABORTY | Contact No | 9123996482 |
| Address | 11/D DR. P.N. MUKHERJEE STREET CHATRA SERA,MPORE | Age | 43 Years,8 Months,6 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||