Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 11341 | Date 26/07/2022 |
| Token No | SM/22-23/15066 27/07/2022 | Serial | 003 Last Visit: 08/08/2022 |
| Patient Name | Mrs. KALYANI RUIDAS | Contact No | 7890161462 |
| Address | 6 HARIJAN ROAD CHATRA DAS PARA BAIDYABATI (M) | Age | 53 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 45 KG |
| Pulse Rate | / min | Height | 147.5 cm BMI: 20.683712 |
| Diagnosis | |||