Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07198 | Date 20/12/2019 |
| Token No | SM/21-22/10440 03/03/2022 | Serial | 039 Last Visit: 08/11/2025 |
| Patient Name | Mrs. SOVA HALDER | Contact No | 9674028781 |
| Address | 175/A TELI PARA CHATRA , BAIDYABATI(M) | Age | 49 Years,10 Months,7 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||