Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 08026 | Date 06/04/2020 |
| Token No | SM/21-22/9817 12/02/2022 | Serial | 010 Last Visit: 18/12/2025 |
| Patient Name | Mrs. BANDANA PAL | Contact No | 9051063035 |
| Address | 84 B CHATRA BARUIPARA LANE | Age | 67 Years,11 Months,16 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||