Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00864 | Date 31/08/2018 |
| Token No | SM/24-25/39340 13/11/2024 | Serial | 025 Last Visit: 03/12/2025 |
| Patient Name | Mrs. ALPONA SOM | Contact No | 9051868267 |
| Address | 123/A CHATRA BARUI PARA LANE | Age | 49 Years,11 Months,1 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | 190/90 mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||