Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03571 | Date 14/02/2019 |
| Token No | SM/22-23/12805 23/05/2022 | Serial | 053 Last Visit: 19/01/2023 |
| Patient Name | Mrs. ANITA BENERJEE | Contact No | 9748381588 |
| Address | 21CHATRA,DHARMA TALA | Age | 50 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 36 KG |
| Pulse Rate | / min | Height | 138.5 cm BMI: 18.767350 |
| Diagnosis | |||