Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00155 | Date 06/08/2018 |
| Token No | SM/21-22/2263 14/06/2021 | Serial | 055 Last Visit: 16/10/2025 |
| Patient Name | Mrs. APARNA DEY | Contact No | 9836030919 |
| Address | 30/A/1 P.N MUKHERJEE STREET | Age | 54 Years,9 Months,14 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||