Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 03468 | Date 08/02/2019 |
| Token No | SM/21-22/6670 08/11/2021 | Serial | 065 Last Visit: 13/08/2025 |
| Patient Name | Miss TITLI KUNDU | Contact No | 8100676415 |
| Address | 149 SHITALA TALA ROAD,BAIDYABATI(M) | Age | 28 Years,11 Months,18 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||