Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03533 | Date 13/02/2019 |
| Token No | SM/20-21/29313 13/01/2021 | Serial | 036 Last Visit: 09/05/2025 |
| Patient Name | Mrs. KANIKA CHATTERJEE | Contact No | 9800900862 |
| Address | 25 CHATRA GODER BAGAN,BAIDYABATI(M) | Age | 49 Years,7 Months,8 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||