Ticket for Outdoor Patient
| Ward No. 2 | U-PHC No. | Registration No. 00240 | Date 08/08/2018 |
| Token No | SM/25-26/3530 14/07/2025 | Serial | 012 Last Visit: 04/08/2025 |
| Patient Name | Mrs. RAJARSHREE CHAKRABORTY | Contact No | 9748754439 |
| Address | 164/2, R.K. ROAD, CHATRA | Age | 50 Years,7 Months,2 Days Female |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | 77.9 KG |
| Pulse Rate | / min | Height | 163.5 cm BMI: 29.140832 |
| Diagnosis | |||