Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 10437 | Date 21/12/2021 |
| Token No | SM/21-22/8012 22/12/2021 | Serial | 032 Last Visit: 11/08/2025 |
| Patient Name | Mrs. NILAM KHATUN | Contact No | 7449449118 |
| Address | 41 K. M. BHATTACHERJEE LANE | Age | 35 Years,8 Months,25 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||