Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 05694 | Date 08/07/2019 |
| Token No | SM/22-23/12420 12/05/2022 | Serial | 045 Last Visit: 13/12/2025 |
| Patient Name | Mrs. SWAPNA BAG | Contact No | 9874945177 |
| Address | 42 CHATRA BARUI PARA LANE | Age | 62 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 | |||