Ticket for Outdoor Patient
| Ward No. 0 | U-PHC No. | Registration No. 13151 | Date 27/01/2024 |
| Token No | SM/22-23/28559 30/01/2024 | Serial | 042 Last Visit: 03/02/2024 |
| Patient Name | Mrs. ARJINA BAGAM | Contact No | 6291454917 |
| Address | 36/1/A MIRPARA BAIDYABATI (M) | Age | 52 Years,1 Months,2 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 56.4 KG |
| Pulse Rate | / min | Height | 150.5 cm BMI: 24.900387 |
| Diagnosis | |||