Ticket for Outdoor Patient
| Ward No. 28 | U-PHC No. | Registration No. 09722 | Date 14/06/2021 |
| Token No | SM/21-22/2259 14/06/2021 | Serial | 051 Last Visit: 26/07/2025 |
| Patient Name | Mrs. SUJATA BHATTACHARYA | Contact No | 9143606788 |
| Address | 190 MALLICKPARA M DESHBANHDU SCHOOL | Age | 56 Years,6 Months,23 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||