Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 09549 | Date 28/04/2021 |
| Token No | SM/21-22/1002 29/04/2021 | Serial | 048 Last Visit: 04/12/2025 |
| Patient Name | Miss TRISHA SARKAR | Contact No | 9883772794 |
| Address | 28(42) ,PATI PARA , BAIDYABATI (M) | Age | 11 Years,6 Months,12 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||