Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 03696 | Date 19/02/2019 |
| Token No | SM/24-25/35608 31/07/2024 | Serial | 060 Last Visit: 18/09/2025 |
| Patient Name | Mrs. KRISHNA CHATTERJEE | Contact No | 8420978774 |
| Address | 31/D CHATRA DOL TALA | Age | 52 Years,8 Months,16 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 186/86 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||