Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 00050 | Date 02/08/2018 |
| Token No | SM/21-22/5804 05/10/2021 | Serial | 055 Last Visit: 10/04/2025 |
| Patient Name | Miss BIDISHA LAHA | Contact No | |
| Address | 13/A DUTTAPARA , CHATRA | Age | 19 Years,3 Months,7 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||