Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 03098 | Date 19/01/2019 |
| Token No | SM/22-23/18695 08/12/2022 | Serial | 024 Last Visit: 08/12/2022 |
| Patient Name | Mrs. PAMPA GHUGHU | Contact No | 9062035737 |
| Address | PIYARAPUR SHEWRAPHULI , BAIDYABATI (M) | Age | 41 YRS Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 66 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||