Ticket for Outdoor Patient
| Ward No. 4 | U-PHC No. | Registration No. 10505 | Date 05/01/2022 |
| Token No | SM/24-25/36124 17/08/2024 | Serial | 018 Last Visit: 17/08/2024 |
| Patient Name | Miss TUHINA MONDAL | Contact No | 8617217694 |
| Address | CHATRA MANASATALA | Age | 17 Years,7 Months,15 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 46 KG |
| Pulse Rate | / min | Height | cm BMI: inf |
| Diagnosis | |||