Ticket for Outdoor Patient
| Ward No. 13 | U-PHC No. | Registration No. 02851 | Date 07/01/2019 |
| Token No | SM/24-25/37474 21/09/2024 | Serial | 017 Last Visit: 21/09/2024 |
| Patient Name | Mrs. BABY SRIMANI | Contact No | 9903757687 |
| Address | 2B/2A K C BHATTACHARYA STREET | Age | 61 Years,8 Months,20 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||