Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 13103 | Date 09/01/2024 |
| Token No | SM/22-23/28000 09/01/2024 | Serial | 037 Last Visit: 09/01/2024 |
| Patient Name | Miss SUBHECCHA DUTTA | Contact No | 6290972442 |
| Address | 61 SHITALTALA CHATRA BAIDYABATI(M) | Age | 10 Years,11 Months,14 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 28.3 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||