Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 03459 | Date 08/02/2019 |
| Token No | SM/21-22/9039 17/01/2022 | Serial | 055 Last Visit: 11/01/2024 |
| Patient Name | Mrs. SOMA BENERJEE | Contact No | 9836572595 |
| Address | 19/A P GHOSH ROAD,CHATRA | Age | 47 Years,0 Months,9 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||