Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00534 | Date 18/08/2018 |
| Token No | SM/21-22/5157 16/09/2021 | Serial | 029 Last Visit: 27/12/2023 |
| Patient Name | Mrs. MALATI SADHUKHAN | Contact No | 8335066077 |
| Address | 3, DHARMOTALA LANE ,CHATRA | Age | 67 Years,11 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||