Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 00443 | Date 14/08/2018 |
| Token No | SM/24-25/35116 22/07/2024 | Serial | 009 Last Visit: 01/03/2025 |
| Patient Name | Mrs. KALYANI DAS SARKAR | Contact No | 7890841994 |
| Address | 2, DR. BAGAN LANE | Age | 50 Years,2 Months,29 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||