Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 13214 | Date 08/02/2024 |
| Token No | SM/22-23/28908 08/02/2024 | Serial | 001 Last Visit: 27/08/2025 |
| Patient Name | Mrs. SUMANA BAIRAGI | Contact No | 7439573028 |
| Address | 53 NO K.M SAHA STREET | Age | 25 Years,8 Months,1 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 37.6 KG |
| Pulse Rate | / min | Height | 146.5 cm BMI: 17.519132 |
| Diagnosis | |||