Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 00967 | Date 07/09/2018 |
| Token No | SM/21-22/9818 12/02/2022 | Serial | 011 Last Visit: 26/08/2025 |
| Patient Name | Mrs. SAMPA BHATTACHARYA | Contact No | 6291107062 |
| Address | 3K CHATRA DUTTA PARA | Age | 51 Years,7 Months,24 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||