Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 03390 | Date 05/02/2019 |
| Token No | SM/21-22/9602 04/02/2022 | Serial | 011 Last Visit: 01/12/2025 |
| Patient Name | Mrs. SIKHA DUTTA | Contact No | 9477920277 |
| Address | 194 G T ROAD KUMAR BAGAN,BAIDYABATI(M) | Age | 65 Years,11 Months,30 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||