Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 08989 | Date 24/11/2020 |
| Token No | SM/22-23/13775 20/06/2022 | Serial | 057 Last Visit: 27/12/2025 |
| Patient Name | Mrs. TAPASII BAIDYA | Contact No | 9674175417 |
| Address | 78 BAGHER BAGAN,TELIPARA,BAIDYABATI(M) | Age | 52 Years,11 Months,25 Days Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | 167 cm BMI: 19.362473 |
| Diagnosis | |||