Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10787 | Date 12/03/2022 |
| Token No | SM/21-22/10809 15/03/2022 | Serial | 029 Last Visit: 13/12/2025 |
| Patient Name | Mrs. PADMA MAJHI | Contact No | 9804109138 |
| Address | 59 BARA BAGAN LANE SERAMPORE | Age | 72 Years,11 Months,11 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||