Ticket for Outdoor Patient
| Ward No. 9 | U-PHC No. | Registration No. 10239 | Date 27/10/2021 |
| Token No | SM/21-22/6372 28/10/2021 | Serial | 038 Last Visit: 16/08/2025 |
| Patient Name | Mrs. SANJIDA PARVEEN | Contact No | 9331976293 |
| Address | 5,B.M ROAD CHAMPDANI BAIDHYABATI | Age | 34 Years,7 Months,14 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||