Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 00629 | Date 23/08/2018 |
| Token No | SM/21-22/8603 06/01/2022 | Serial | 054 Last Visit: 04/12/2025 |
| Patient Name | Mrs. MINATI PAL | Contact No | 9477956377 |
| Address | 10/A KUMAOR PARA LANE , CHATRA SERAMPORE | Age | 57 Years,11 Months,2 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||