Ticket for Outdoor Patient
| Ward No. 1 | U-PHC No. | Registration No. 11327 | Date 23/07/2022 |
| Token No | SM/22-23/15014 25/07/2022 | Serial | 049 Last Visit: 25/07/2022 |
| Patient Name | Mrs. ANINDITA DAS | Contact No | 9143097494 |
| Address | 216/49/1, VIVEKANANDA SARANI BAIDYABATI(M) MALLICKPARA | Age | 31 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 54 KG |
| Pulse Rate | / min | Height | 148.2 cm BMI: 24.586536 |
| Diagnosis | |||