Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10898 | Date 08/04/2022 |
| Token No | SM/22-23/11607 09/04/2022 | Serial | 038 Last Visit: 13/12/2025 |
| Patient Name | Mrs. DURGA RANI DUTTA | Contact No | 9038783570 |
| Address | CHATRA TETUL TALA,BAIDYABATI(M) | Age | 52 Years,11 Months,11 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||