Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 07540 | Date 14/02/2020 |
| Token No | SM/21-22/6596 03/11/2021 | Serial | 045 Last Visit: 08/11/2025 |
| Patient Name | Mrs. MOUMITA ROY | Contact No | 9748363534 |
| Address | 205 G. T. ROAD,BAIDYABATI(M) | Age | 41 Years,10 Months,7 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||