Ticket for Outdoor Patient
| Ward No. 7 | U-PHC No. | Registration No. 11494 | Date 29/08/2022 |
| Token No | SM/22-23/16435 07/09/2022 | Serial | 015 Last Visit: 17/01/2023 |
| Patient Name | Mrs. PRATIBHA MAHATO(SARMA) | Contact No | 8910459686 |
| Address | 4 BURO BIBI LANE | Age | 23 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 49 KG |
| Pulse Rate | / min | Height | 149 cm BMI: 22.071078 |
| Diagnosis | |||