Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00575 | Date 20/08/2018 |
| Token No | SM/21-22/9139 19/01/2022 | Serial | 045 Last Visit: 17/12/2025 |
| Patient Name | Mrs. RADHA RANI BISWAS | Contact No | 9830441257 |
| Address | 8, A K DUTTA SARANI ,CHATRA BAJAR ROAD | Age | 64 Years,11 Months,15 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||