Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 02234 | Date 30/11/2018 |
| Token No | SM/21-22/10445 03/03/2022 | Serial | 044 Last Visit: 20/09/2025 |
| Patient Name | Mrs. ANNAPURNA DEY | Contact No | 9330829764 |
| Address | 23 CHATRA CHOWDHURY PARA | Age | 65 Years,8 Months,19 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||