Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09238 | Date 01/02/2021 |
| Token No | SM/20-21/30042 02/02/2021 | Serial | 051 Last Visit: 17/12/2025 |
| Patient Name | Mrs. SANDHYA MARIK | Contact No | 9903918250 |
| Address | 44 CHATRA BARUI PARA LANE | Age | 62 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 | |||